Individual provider · Type 1 NPI

Andrew Michael Rakers

Pharmacist · O Fallon, IL

NPI number 1104171487 Active

Practice location

3400 Green Mount Crossing Dr
O Fallon, IL 62269-7277

Mailing address

5169 Stacey Dr
Granite City, IL 62040-2675

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051295793 (IL)
Pharmacist 183500000X2012025434 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104171487

Andrew Michael Rakers's National Provider Identifier is 1104171487, issued on Jul 23, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in O Fallon, IL. The record was last updated on Jul 25, 2012.