MEDICARE: RACHEL WILLAUER PHARMD

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	64818	TX

General Provider Information

NPI Number	:	1497343198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL WILLAUER PHARMD

Provider Business Mailing Address
First Line	:	3308 HILLCREST DR
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76708-3118
Country	:	US
Telephone Number	:	254-756-5383
Fax Number	:

Provider Business Practice Location Address
First Line	:	2320 GLENDALE DR
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76710-2046
Country	:	US
Telephone Number	:	979-240-6705
Fax Number	:

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

Provider Enumeration Date	:	01/07/2021
Last Update Date	:	01/07/2021

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