Provider Demographics
NPI:1467588616
Name:RACKMAN, ARIEL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:
Last Name:RACKMAN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-1107
Mailing Address - Country:US
Mailing Address - Phone:718-277-9160
Mailing Address - Fax:718-277-9164
Practice Address - Street 1:3024 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-1107
Practice Address - Country:US
Practice Address - Phone:718-277-9160
Practice Address - Fax:718-277-9164
Is Sole Proprietor?:No
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050792183500000X
NJ28RI03042000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist