Provider Demographics
NPI:1346317633
Name:SHAFIE, RIMA M (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RIMA
Middle Name:M
Last Name:SHAFIE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33600 NORFOLK ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-4102
Mailing Address - Country:US
Mailing Address - Phone:248-471-4342
Mailing Address - Fax:
Practice Address - Street 1:20201 W 7 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-5715
Practice Address - Country:US
Practice Address - Phone:313-533-8200
Practice Address - Fax:313-538-2223
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302410331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist