Provider Demographics
NPI:1376114520
Name:LIZARRAGA, RACHEL PAIGE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:PAIGE
Last Name:LIZARRAGA
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 1:824 ATWELL CIR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95776-5120
Mailing Address - Country:US
Mailing Address - Phone:440-552-9621
Mailing Address - Fax:
Practice Address - Street 1:295 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3691
Practice Address - Country:US
Practice Address - Phone:530-662-1795
Practice Address - Fax:530-662-6261
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03440751183500000X
CA85770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist