MEDICARE: DR. RIMA CHARARA BS PHARM, PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5302028615	MI

General Provider Information

NPI Number	:	1124561279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RIMA CHARARA BS PHARM, PHARMD

Provider Business Mailing Address
First Line	:	17500 W OUTER DR
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2571
Country	:	US
Telephone Number	:	313-701-1903
Fax Number	:	313-565-7208

Provider Business Practice Location Address
First Line	:	17500 W OUTER DR
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2571
Country	:	US
Telephone Number	:	313-701-1903
Fax Number	:	313-565-7208

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2016
Last Update Date	:	11/22/2016

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