Provider Demographics
NPI:1801106810
Name:HARIM SAMMEL, DINA KAY (RPH)
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:KAY
Last Name:HARIM SAMMEL
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 1:1001 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-2105
Mailing Address - Country:US
Mailing Address - Phone:724-223-4971
Mailing Address - Fax:724-223-4978
Practice Address - Street 1:1001 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-2105
Practice Address - Country:US
Practice Address - Phone:724-223-4971
Practice Address - Fax:724-223-4978
Is Sole Proprietor?:No
Enumeration Date:2010-10-12
Last Update Date:2010-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist