MEDICARE: RACHEL MARIE THURMAN

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	03445698	OH

General Provider Information

NPI Number	:	1598647521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL MARIE THURMAN

Provider Business Mailing Address
First Line	:	1060 ASHLAND RD
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44905-2157
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1060 ASHLAND RD
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44905-2157
Country	:	US
Telephone Number	:	419-589-3693
Fax Number	:

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

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	07/22/2025

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