Healthcare Provider Details

I. General information

NPI: 1700596764
Provider Name (Legal Business Name): RACHEL MARIE BALENTINE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL MARIE PIERCE

II. Dates (important events)

Enumeration Date: 11/30/2022
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS OH
44122-5203
US

IV. Provider business mailing address

3605 WARRENSVILLE CENTER RD
SHAKER HEIGHTS OH
44122-5203
US

V. Phone/Fax

Practice location:
  • Phone: 216-237-5385
  • Fax:
Mailing address:
  • Phone: 216-237-5385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03442738
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: