Provider Demographics
NPI:1326368358
Name:SEBHATU, ARIAM ARAYA (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:ARIAM
Middle Name:ARAYA
Last Name:SEBHATU
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 1:2025 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-4704
Mailing Address - Country:US
Mailing Address - Phone:909-824-8299
Mailing Address - Fax:
Practice Address - Street 1:2025 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-4704
Practice Address - Country:US
Practice Address - Phone:909-824-8299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 50794183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist