Provider Demographics
NPI:1083995039
Name:WERNER, RACHEL ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:WERNER
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 1:211 HOPKINS RD
Mailing Address - Street 2:
Mailing Address - City:MICKLETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08056-1273
Mailing Address - Country:US
Mailing Address - Phone:216-904-7021
Mailing Address - Fax:
Practice Address - Street 1:1120 PULASKI HWY
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1306
Practice Address - Country:US
Practice Address - Phone:302-832-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-05
Last Update Date:2011-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0004186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist