Provider Demographics
NPI:1376929323
Name:DILLMAN, RACHEL WILSON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:WILSON
Last Name:DILLMAN
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 1:915 ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-1418
Mailing Address - Country:US
Mailing Address - Phone:864-845-8323
Mailing Address - Fax:
Practice Address - Street 1:915 ANDERSON ST
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673-1418
Practice Address - Country:US
Practice Address - Phone:864-845-8323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36268183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist