Provider Demographics
NPI:1003258153
Name:KARASIEWICZ, RACHAEL NICOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:NICOLE
Last Name:KARASIEWICZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23765 CLEAR SPRING CT APT 2506
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4084
Mailing Address - Country:US
Mailing Address - Phone:330-219-5970
Mailing Address - Fax:
Practice Address - Street 1:13401 SUMMERLIN RD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-6592
Practice Address - Country:US
Practice Address - Phone:239-481-3321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50639183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist