Provider Demographics
NPI:1417246422
Name:DONEGAN, RACHEL LEIGH (PHARMD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEIGH
Last Name:DONEGAN
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 1:124 REDBUD DR
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2957
Mailing Address - Country:US
Mailing Address - Phone:615-446-4790
Mailing Address - Fax:
Practice Address - Street 1:10033 HWY 70 EAST
Practice Address - Street 2:
Practice Address - City:MCEWEN
Practice Address - State:TN
Practice Address - Zip Code:37101
Practice Address - Country:US
Practice Address - Phone:931-582-8808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8748183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist