Provider Demographics
NPI:1457628042
Name:NAGEL, P. RACHAEL B (PHARMD)
Entity Type:Individual
Prefix:
First Name:P. RACHAEL
Middle Name:B
Last Name:NAGEL
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 1:46 ASH BROOK RD
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-5918
Mailing Address - Country:US
Mailing Address - Phone:603-354-2165
Mailing Address - Fax:603-354-2155
Practice Address - Street 1:46 ASH BROOK RD
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-5918
Practice Address - Country:US
Practice Address - Phone:603-354-2165
Practice Address - Fax:603-354-2155
Is Sole Proprietor?:No
Enumeration Date:2011-11-26
Last Update Date:2011-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3730183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist