Provider Demographics
NPI:1104185636
Name:DAVAR, RACHNA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RACHNA
Middle Name:
Last Name:DAVAR
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 1:5 WOODSVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GARNET VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19060-1227
Mailing Address - Country:US
Mailing Address - Phone:610-457-0322
Mailing Address - Fax:
Practice Address - Street 1:516 SCHOOL HOUSE RD
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-1742
Practice Address - Country:US
Practice Address - Phone:610-444-5941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0004267183500000X
PARP440428183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist