Provider Demographics
NPI:1528167426
Name:RAUSCH, ALEXIA A
Entity type:Individual
Prefix:
First Name:ALEXIA
Middle Name:A
Last Name:RAUSCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LEXIE
Other - Middle Name:A
Other - Last Name:RAUSCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:413 8TH ST.
Mailing Address - Street 2:P.O. BOX 101
Mailing Address - City:ONIDA
Mailing Address - State:SD
Mailing Address - Zip Code:57564-0101
Mailing Address - Country:US
Mailing Address - Phone:605-258-2345
Mailing Address - Fax:605-258-2822
Practice Address - Street 1:125 MAIN ST.
Practice Address - Street 2:
Practice Address - City:ONIDA
Practice Address - State:SD
Practice Address - Zip Code:57564-0109
Practice Address - Country:US
Practice Address - Phone:605-258-2345
Practice Address - Fax:605-258-2822
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician