Provider Demographics
NPI:1083323273
Name:SIMA, RAHEL ADMASU (PHARMACY INTERN)
Entity Type:Individual
Prefix:
First Name:RAHEL
Middle Name:ADMASU
Last Name:SIMA
Suffix:
Gender:F
Credentials:PHARMACY INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 NE 150TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-7239
Mailing Address - Country:US
Mailing Address - Phone:206-288-3425
Mailing Address - Fax:
Practice Address - Street 1:1529 NE 150TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-7239
Practice Address - Country:US
Practice Address - Phone:206-288-3425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60866262390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty