Healthcare Provider Details

I. General information

NPI: 1598647521
Provider Name (Legal Business Name): RACHEL MARIE THURMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL MARIE HOPPER

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 ASHLAND RD
MANSFIELD OH
44905-2157
US

IV. Provider business mailing address

1060 ASHLAND RD
MANSFIELD OH
44905-2157
US

V. Phone/Fax

Practice location:
  • Phone: 419-589-3693
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03445698
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: