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NPI Code Detail

MEDICARE: DR. RACHAEL MARIE FANTZ PHARMD

MEDICARE:  DR. RACHAEL MARIE FANTZ  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
11835P1300XPsychiatric PharmacistPH00040710WA
21835P1300XPsychiatric Pharmacist9406SC

General Provider Information

NPI Number : 1861493207
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RACHAEL MARIE FANTZ PHARMD
Provider Business Mailing Address
First Line : 1315 RAINIER ST
Second Line :
City : STEILACOOM
State : WA
Zip : 98388-2018
Country : US
Telephone Number : 253-232-2242
Fax Number : 253-756-2707
Provider Business Practice Location Address
First Line : 9601 STEILACOOM BLVD SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98498-7213
Country : US
Telephone Number : 253-756-2521
Fax Number : 253-756-2707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 02/26/2026

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Directions to “ DR. RACHAEL MARIE FANTZ PHARMD” Practice Location

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