MEDICARE: MISS RACHEL RICHMAN 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	13412	SC
2	183500000X	Pharmacist	21925	NC

General Provider Information

NPI Number	:	1710255351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS RACHEL RICHMAN PHARMD

Provider Business Mailing Address
First Line	:	467 CROWN DR
Second Line	:	APARTMENT #467
City	:	FORT MILL
State	:	SC
Zip	:	29708-8599
Country	:	US
Telephone Number	:	803-493-6133
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 HIGHWAY 160 W
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-8009
Country	:	US
Telephone Number	:	803-396-0450
Fax Number	:

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

Provider Enumeration Date	:	12/10/2011
Last Update Date	:	12/10/2011

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