Rachel Hardke, PHARMD
Individual provider Active NPI Pharmacy · Hazen, AR
NPI 1679198212 · NPPES record last updated Jun 9, 2020
Key facts
- NPI
- 1679198212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy 333600000X
- License
- PD12277 (AR)
- Practice address
- 14984 Highway 86 W
Hazen, AR 72064-8348 - Phone
- (479) 650-0723
- NPI assigned
- Jun 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD12277 | AR | MD | Pharmacy |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PD12277 | AR | Yes |
Addresses
Primary practice location
14984 Highway 86 W
Hazen, AR 72064-8348
Mailing address
14984 Highway 86 W
Hazen, AR 72064-8348
Phone (479) 650-0723
Other names
- Rachel Null
Other providers in Hazen, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.