MEDICARE: DR. DELPHINA CHIKAMELE MITIMA-SAMUEL PHARM D

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	1835P1300X	Psychiatric Pharmacist	35417	TX

General Provider Information

NPI Number	:	1427058346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DELPHINA CHIKAMELE MITIMA-SAMUEL PHARM D

Provider Business Mailing Address
First Line	:	9727 MCKINNEY LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6344
Country	:	US
Telephone Number	:	409-350-8167
Fax Number	:	713-583-1351

Provider Business Practice Location Address
First Line	:	9727 MCKINNEY LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459
Country	:	US
Telephone Number	:	281-778-7466
Fax Number	:	713-728-2230

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

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	07/18/2018

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