Rachel Octavia Wylie, | |
1226 Mulberry St, Mount Vernon, IN 47620-1358 | |
(618) 218-6502 | |
Not Available |
Full Name | Rachel Octavia Wylie |
---|---|
Gender | Female |
Speciality | Pharmacist |
Location | 1226 Mulberry St, Mount Vernon, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003449851 | NPI | - | NPPES |
26028287A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 051301509 (Illinois) | Secondary |
183500000X | Pharmacist | 26028287A (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Rachel Octavia Wylie, 1226 Mulberry St, Mount Vernon, IN 47620-1358 Ph: (618) 218-6502 | Rachel Octavia Wylie, 1226 Mulberry St, Mount Vernon, IN 47620-1358 Ph: (618) 218-6502 |
Darlene Ghrist, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 700 E 4th St, Mount Vernon, IN 47620 Phone: 812-838-5089 Fax: 812-838-5356 | |
Amy Dickerson, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 700 E 4th St, Mount Vernon, IN 47620 Phone: 812-838-5089 |