Healthcare Provider Details

I. General information

NPI: 1255575155
Provider Name (Legal Business Name): ROBERT STEVEN RHINEHART R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2009
Last Update Date: 04/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 EASTLAKE AVE E STE 400
SEATTLE WA
98102-6539
US

IV. Provider business mailing address

2324 EASTLAKE AVE E STE 400
SEATTLE WA
98102-6539
US

V. Phone/Fax

Practice location:
  • Phone: 206-838-4590
  • Fax: 206-838-4599
Mailing address:
  • Phone: 206-838-4590
  • Fax: 206-838-4599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number11453
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: