Provider Demographics
NPI:1013280999
Name:CHAHINE, RIMA M (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:RIMA
Middle Name:M
Last Name:CHAHINE
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2123 162ND PL SE
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-8049
Mailing Address - Country:US
Mailing Address - Phone:425-337-2363
Mailing Address - Fax:
Practice Address - Street 1:2123 162ND PL SE
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-8049
Practice Address - Country:US
Practice Address - Phone:425-337-2363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60162020183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist