Healthcare Provider Details

I. General information

NPI: 1437241957
Provider Name (Legal Business Name): CHERYL RIM PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 WILLARD
IRVINE CA
92604-4694
US

IV. Provider business mailing address

6 WILLARD
IRVINE CA
92604-4694
US

V. Phone/Fax

Practice location:
  • Phone: 949-262-5758
  • Fax: 949-262-5701
Mailing address:
  • Phone: 949-262-5758
  • Fax: 949-262-5701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 50460
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: