Provider Demographics
NPI:1013149434
Name:BUSCH, RACHEL NOEL (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:NOEL
Last Name:BUSCH
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 1:12836 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:DILLSBORO
Mailing Address - State:IN
Mailing Address - Zip Code:47018-8492
Mailing Address - Country:US
Mailing Address - Phone:812-432-5684
Mailing Address - Fax:812-432-5954
Practice Address - Street 1:12836 NORTH ST
Practice Address - Street 2:
Practice Address - City:DILLSBORO
Practice Address - State:IN
Practice Address - Zip Code:47018-8492
Practice Address - Country:US
Practice Address - Phone:812-432-5684
Practice Address - Fax:812-432-5954
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26023159A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist