Provider Demographics
NPI:1043297682
Name:SNOW, RACHEL W (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:W
Last Name:SNOW
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 1:21005 83RD AVE W
Mailing Address - Street 2:#21
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7051
Mailing Address - Country:US
Mailing Address - Phone:425-640-3657
Mailing Address - Fax:
Practice Address - Street 1:4727 DENVER AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134-2316
Practice Address - Country:US
Practice Address - Phone:425-334-4028
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00051354183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist