MEDICARE: RACHEL HINES

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
1	183500000X	Pharmacist	021548	KY
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	021548	KY

General Provider Information

NPI Number	:	1407450638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL HINES

Provider Business Mailing Address
First Line	:	6747 S KY 837
Second Line	:
City	:	BETHELRIDGE
State	:	KY
Zip	:	42516-6646
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	181 S HIGHWAY 127
Second Line	:
City	:	RUSSELL SPRINGS
State	:	KY
Zip	:	42642-4268
Country	:	US
Telephone Number	:	270-216-7010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2020
Last Update Date	:	06/04/2026

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Directions to “ RACHEL HINES ” Practice Location

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