Provider Demographics
NPI:1699101576
Name:BASTIEN, RACHEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:BASTIEN
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 1:3715 A B CARTER RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28312-7172
Mailing Address - Country:US
Mailing Address - Phone:443-366-6441
Mailing Address - Fax:
Practice Address - Street 1:2960 HOPE MILLS RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-8348
Practice Address - Country:US
Practice Address - Phone:910-424-9213
Practice Address - Fax:910-424-9712
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23690183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist