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NPI Code Detail

MEDICARE: RACHEL C HAGERMAN PHARMD

MEDICARE: RACHEL C HAGERMAN 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
1183500000XPharmacist19869AL
2183500000XPharmacistPS56397FL

General Provider Information

NPI Number : 1538685185
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL C HAGERMAN PHARMD
Provider Business Mailing Address
First Line : 2835 GERONIMO DR
Second Line :
City : CRESTVIEW
State : FL
Zip : 32539-6372
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5998 MOBILE HWY
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-1873
Country : US
Telephone Number : 850-941-8157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2017
Last Update Date : 09/26/2019

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Directions to “ RACHEL C HAGERMAN PHARMD” Practice Location

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