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NPI Code Detail

MEDICARE: RACHEL BORST

MEDICARE: RACHEL BORST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist71794CA
2183500000XPharmacist35639SC

General Provider Information

NPI Number : 1063816221
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BORST
Provider Business Mailing Address
First Line : 39650 LIBERTY ST STE 450
Second Line :
City : FREMONT
State : CA
Zip : 94538-2262
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2220 BRIDGEPOINTE PKWY
Second Line :
City : FOSTER CITY
State : CA
Zip : 94404-1569
Country : US
Telephone Number : 650-393-2126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2014
Last Update Date : 10/17/2014

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Directions to “ RACHEL BORST ” Practice Location

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