Healthcare Provider Details

I. General information

NPI: 1356245559
Provider Name (Legal Business Name): RACHEL NICOLE RUSK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 6TH AVE S
BIRMINGHAM AL
35233-1932
US

IV. Provider business mailing address

132 MAGNOLIA DR
WARRIOR AL
35180-4598
US

V. Phone/Fax

Practice location:
  • Phone: 205-996-9778
  • Fax:
Mailing address:
  • Phone: 205-527-2802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21415
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: