Healthcare Provider Details

I. General information

NPI: 1902436165
Provider Name (Legal Business Name): RACHEL LYNN KAIN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2020
Last Update Date: 06/19/2022
Certification Date: 06/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 S HURON AVE
HARBOR BEACH MI
48441-1201
US

IV. Provider business mailing address

114 S HURON AVE
HARBOR BEACH MI
48441-1201
US

V. Phone/Fax

Practice location:
  • Phone: 989-315-8605
  • Fax:
Mailing address:
  • Phone: 989-315-8605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302036101
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: