Provider Demographics
NPI:1134853245
Name:CHIMI, MURIELLE NONO
Entity type:Individual
Prefix:
First Name:MURIELLE
Middle Name:NONO
Last Name:CHIMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MIRADA DR N UNIT 239
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-7690
Mailing Address - Country:US
Mailing Address - Phone:614-517-8480
Mailing Address - Fax:
Practice Address - Street 1:8870 COLUMBUS PIKE
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-9115
Practice Address - Country:US
Practice Address - Phone:740-548-0010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03442153183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist