Provider Demographics
NPI:1205342961
Name:PICCIN, RACHEL LAUREN (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LAUREN
Last Name:PICCIN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:643 ENCLAVE VILLAGE PL APT 3
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-8516
Mailing Address - Country:US
Mailing Address - Phone:614-374-0749
Mailing Address - Fax:
Practice Address - Street 1:530 E MAIN ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-2127
Practice Address - Country:US
Practice Address - Phone:740-286-6400
Practice Address - Fax:740-286-4510
Is Sole Proprietor?:No
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03337737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist