Provider Demographics
NPI:1043798333
Name:MOUSTAADER, RACHAEL MARY (PHARMD, BCPS, TTS)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:MARY
Last Name:MOUSTAADER
Suffix:
Gender:F
Credentials:PHARMD, BCPS, TTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 GREENBRIAR DR STE 1
Mailing Address - Street 2:
Mailing Address - City:LEECHBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15656-8206
Mailing Address - Country:US
Mailing Address - Phone:412-313-8706
Mailing Address - Fax:724-845-8418
Practice Address - Street 1:815 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3301
Practice Address - Country:US
Practice Address - Phone:412-784-7896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452303183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist