MEDICARE: ROBERT STEVEN RHINEHART R.PH.

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	1835G0303X	Geriatric Pharmacist	11453	WA

General Provider Information

NPI Number	:	1255575155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT STEVEN RHINEHART R.PH.

Provider Business Mailing Address
First Line	:	2324 EASTLAKE AVE E STE 400
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-6539
Country	:	US
Telephone Number	:	206-838-4590
Fax Number	:	206-838-4599

Provider Business Practice Location Address
First Line	:	2324 EASTLAKE AVE E STE 400
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-6539
Country	:	US
Telephone Number	:	206-838-4590
Fax Number	:	206-838-4599

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

Provider Enumeration Date	:	04/23/2009
Last Update Date	:	04/23/2009

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