Provider Demographics
NPI:1487943866
Name:DRAME, IMBI LOUISE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:IMBI
Middle Name:LOUISE
Last Name:DRAME
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11412 HAWK RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1455
Mailing Address - Country:US
Mailing Address - Phone:202-415-2205
Mailing Address - Fax:
Practice Address - Street 1:11412 HAWK RIDGE CT
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1455
Practice Address - Country:US
Practice Address - Phone:202-415-2205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100000537183500000X
MD18804183500000X
CA61803183500000X
NJ28RI03352700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist