Individual
ETHAN RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3404 W SYLVANIA AVE, TOLEDO, OH 43623-4467
(419) 407-2663
Mailing address
3404 W SYLVANIA AVE, TOLEDO, OH 43623-4467
(419) 407-2663
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03337920
OH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
03337920
OH
1835P1200X
Pharmacotherapy Pharmacist
03337920
OH
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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