Healthcare Provider Details

I. General information

NPI: 1083323273
Provider Name (Legal Business Name): RAHEL ADMASU SIMA PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2022
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1531 NE 145TH ST
SEATTLE WA
98155-7205
US

IV. Provider business mailing address

1531 NE 145TH ST
SEATTLE WA
98155-7205
US

V. Phone/Fax

Practice location:
  • Phone: 206-366-4672
  • Fax:
Mailing address:
  • Phone: 206-366-4672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number61407402
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: