Healthcare Provider Details

I. General information

NPI: 1033403324
Provider Name (Legal Business Name): RACHEL BOWEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2011
Last Update Date: 02/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9939 MONTGOMERY RD
CINCINNATI OH
45242-5311
US

IV. Provider business mailing address

8037 PLEASURE DR
WEST CHESTER OH
45069-2836
US

V. Phone/Fax

Practice location:
  • Phone: 513-793-1620
  • Fax:
Mailing address:
  • Phone: 513-226-7099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03230203
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number015017
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number26023624A
License Number StateIN
# 4
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03230203-2
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number015017
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26023624A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: