Provider Demographics
NPI:1043487184
Name:COLLINS, RACHELLE RAINFORTH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RACHELLE
Middle Name:RAINFORTH
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SHELLY
Other - Middle Name:RAINFORTH
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:741 YORKSHIRE TRL
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-8838
Mailing Address - Country:US
Mailing Address - Phone:757-482-0296
Mailing Address - Fax:757-312-6125
Practice Address - Street 1:741 YORKSHIRE TRL
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-8838
Practice Address - Country:US
Practice Address - Phone:757-482-0296
Practice Address - Fax:757-312-6125
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202120601835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist