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NPI Code Detail

MEDICARE: PATRICIA K RAABE RPH

MEDICARE:   PATRICIA K RAABE  RPH
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
1183500000XPharmacist051-033664IL

General Provider Information

NPI Number : 1871887042
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA K RAABE RPH
Provider Business Mailing Address
First Line : 1860 N RICHMOND RD
Second Line : T-0892
City : MCHENRY
State : IL
Zip : 60051-5416
Country : US
Telephone Number : 815-385-1280
Fax Number : 815-385-1280
Provider Business Practice Location Address
First Line : 1860 N RICHMOND RD
Second Line : T-0892
City : MCHENRY
State : IL
Zip : 60051-5416
Country : US
Telephone Number : 815-385-1280
Fax Number : 815-385-1280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2011
Last Update Date : 06/06/2011

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Directions to “ PATRICIA K RAABE RPH” Practice Location

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