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NPI Code Detail

MEDICARE: RACHEL STULOCK

MEDICARE: RACHEL STULOCK
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist03232671OH

General Provider Information

NPI Number : 1952742116
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL STULOCK
Provider Business Mailing Address
First Line : 14601 DETROIT AVE
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-4205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14601 DETROIT AVE
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-4205
Country : US
Telephone Number : 216-237-5653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2013
Last Update Date : 02/18/2020

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Directions to “ RACHEL STULOCK ” Practice Location

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