Provider Demographics
NPI:1396232724
Name:ROCKWELL, RACHEL ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:ROCKWELL
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 1:1200 RUSSELL AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-3662
Mailing Address - Country:US
Mailing Address - Phone:952-846-9527
Mailing Address - Fax:
Practice Address - Street 1:3505 BOTTINEAU BLVD
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-6602
Practice Address - Country:US
Practice Address - Phone:612-287-7201
Practice Address - Fax:612-287-7239
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-20
Last Update Date:2020-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN123015183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist