Provider Demographics
NPI:1790777274
Name:OGDEN, RACHEL ROBERTS (RPH, CGP)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ROBERTS
Last Name:OGDEN
Suffix:
Gender:F
Credentials:RPH, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 164
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16127-0164
Mailing Address - Country:US
Mailing Address - Phone:724-992-0293
Mailing Address - Fax:724-458-8892
Practice Address - Street 1:217 1/2 S BROAD ST
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:PA
Practice Address - Zip Code:16127-1503
Practice Address - Country:US
Practice Address - Phone:724-458-6545
Practice Address - Fax:724-458-8892
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034831L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist