Provider Demographics
NPI:1053622159
Name:FORSTER, RACHAEL MARIE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:MARIE
Last Name:FORSTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:RACHAEL
Other - Middle Name:MARIE
Other - Last Name:PAUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:585 GAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-7761
Mailing Address - Country:US
Mailing Address - Phone:509-628-3629
Mailing Address - Fax:509-628-9685
Practice Address - Street 1:585 GAGE BLVD
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-7761
Practice Address - Country:US
Practice Address - Phone:509-628-3629
Practice Address - Fax:509-628-9685
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60152181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist