MEDICARE: RACHEL ANDERSON

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	RP453780	PA

General Provider Information

NPI Number	:	1508413626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ANDERSON

Provider Business Mailing Address
First Line	:	1 EXPRESS WAY
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-1824
Country	:	US
Telephone Number	:	800-244-6224
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 EXPRESS WAY
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-1824
Country	:	US
Telephone Number	:	800-244-6224
Fax Number	:

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

Provider Enumeration Date	:	08/22/2019
Last Update Date	:	09/08/2025

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Directions to “ RACHEL ANDERSON ” Practice Location

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