Edward Rahn, PHARMACIST
Individual provider Active NPI Pharmacist · Phelps, WI
NPI 1831270321 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831270321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7387-040 (WI)
- Practice address
- 2383 State Highway 17
Phelps, WI 54554-9472 - Phone
- (715) 545-2346
- Fax
- (715) 545-3722
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7387-040 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7387-040 | WI | Yes |
Addresses
Primary practice location
2383 State Highway 17
Phelps, WI 54554-9472
Mailing address
949 State Highway 17
Phelps, WI 54554-9425
Phone (715) 545-2290
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7387-040 | Other | WI | PHARMACY LICENSE |
Other providers in Phelps, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.