Provider Demographics
NPI:1730789736
Name:SCHWARTZ, RACHEL ELISE (PHARMD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELISE
Last Name:SCHWARTZ
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 1:3750 W MARKET ST UNIT J
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4802
Mailing Address - Country:US
Mailing Address - Phone:330-668-1176
Mailing Address - Fax:330-668-1176
Practice Address - Street 1:3750 W MARKET ST UNIT J
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4802
Practice Address - Country:US
Practice Address - Phone:330-668-1176
Practice Address - Fax:330-668-1176
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03334496183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist