Provider Demographics
NPI:1124561279
Name:CHARARA, RIMA (BS PHARM, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RIMA
Middle Name:
Last Name:CHARARA
Suffix:
Gender:F
Credentials:BS PHARM, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17500 W OUTER DR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2571
Mailing Address - Country:US
Mailing Address - Phone:313-701-1903
Mailing Address - Fax:313-565-7208
Practice Address - Street 1:17500 W OUTER DR
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2571
Practice Address - Country:US
Practice Address - Phone:313-701-1903
Practice Address - Fax:313-565-7208
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302028615183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist