Provider Demographics
NPI:1013407295
Name:ATKINS, RACHEL NEEDHAM (PHARMD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:NEEDHAM
Last Name:ATKINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:BROOKE
Other - Last Name:NEEDHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4150 RINGGOLD RD
Mailing Address - Street 2:
Mailing Address - City:EAST RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37412-2436
Mailing Address - Country:US
Mailing Address - Phone:423-508-1154
Mailing Address - Fax:423-508-1156
Practice Address - Street 1:4150 RINGGOLD RD
Practice Address - Street 2:
Practice Address - City:EAST RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37412-2436
Practice Address - Country:US
Practice Address - Phone:423-508-1154
Practice Address - Fax:423-508-1156
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41131183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist