Provider Demographics
NPI:1629417720
Name:ARMSTRONG, RACHEL CRAFTS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:CRAFTS
Last Name:ARMSTRONG
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 1:231 S ARTHUR AVE
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83204-3201
Mailing Address - Country:US
Mailing Address - Phone:208-233-2444
Mailing Address - Fax:208-233-3439
Practice Address - Street 1:231 S ARTHUR AVE
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83204-3201
Practice Address - Country:US
Practice Address - Phone:208-233-2444
Practice Address - Fax:208-233-3439
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP55221835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID807012000Medicaid
ID5302860001Medicare NSC