Basic Information
| Provider Information | |||||||||
| NPI: | 1992430128 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MARCHI | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | PATRICIA | ||||||||
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| Credential: | PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 TEA ROSE CT | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631262540 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3146038842 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1095 BROAD RIPPLE AVE STE A | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462202381 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3176213680 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2022 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P2201X | RPH032981 | GA | N | 1835P2201X | 20449-40 | WI | N | 1835P2201X | 2020018404 | MO | Y |
No ID Information.