Healthcare Provider Details

I. General information

NPI: 1396529749
Provider Name (Legal Business Name): RACHEL BORGSTAHL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2023
Last Update Date: 08/24/2023
Certification Date: 08/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 COMMERCIAL DR SW
ROCHESTER MN
55902-2883
US

IV. Provider business mailing address

2826 BOULDER RIDGE DR NW
ROCHESTER MN
55901-2217
US

V. Phone/Fax

Practice location:
  • Phone: 507-284-2021
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number123973
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: