Healthcare Provider Details

I. General information

NPI: 1912822230
Provider Name (Legal Business Name): RACHAEL DAWN ECKERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 17TH ST
COLUMBUS IN
47201-5351
US

IV. Provider business mailing address

11166 E COUNTY ROAD 200 N
HOPE IN
47246-9324
US

V. Phone/Fax

Practice location:
  • Phone: 800-841-4938
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26030289A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: