Healthcare Provider Details

I. General information

NPI: 1083141246
Provider Name (Legal Business Name): RACHAEL DAWN BREWER PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHAEL DAWN DEWITT

II. Dates (important events)

Enumeration Date: 05/18/2017
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 EAST MAIN STREET
JACKSON OH
45640
US

IV. Provider business mailing address

530 EAST MAIN STREET
JACKSON OH
45640
US

V. Phone/Fax

Practice location:
  • Phone: 740-286-6400
  • Fax: 740-286-4510
Mailing address:
  • Phone: 740-286-6400
  • Fax: 740-286-4510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03135551
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: