MEDICARE: RACHNA TUNGATURTHI 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	20775	OR

General Provider Information

NPI Number	:	1669341392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHNA TUNGATURTHI PHARMD

Provider Business Mailing Address
First Line	:	2750 GATEWAY ST
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-1172
Country	:	US
Telephone Number	:	541-741-1547
Fax Number	:

Provider Business Practice Location Address
First Line	:	2750 GATEWAY ST
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-1172
Country	:	US
Telephone Number	:	541-741-1547
Fax Number	:

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

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	10/31/2025

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