Provider Demographics
NPI:1467186163
Name:OWENS, RACHAEL ROSS (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:ROSS
Last Name:OWENS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:DR
Other - First Name:RACHAEL
Other - Middle Name:RENEE
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9070 JUNCTION DR STE E
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS JUNCTION
Mailing Address - State:MD
Mailing Address - Zip Code:20701-1141
Mailing Address - Country:US
Mailing Address - Phone:240-295-3045
Mailing Address - Fax:855-244-4085
Practice Address - Street 1:9070 JUNCTION DRIVE
Practice Address - Street 2:SUITE E
Practice Address - City:ANNAPOLIS JUNCTION
Practice Address - State:MD
Practice Address - Zip Code:20701-1141
Practice Address - Country:US
Practice Address - Phone:240-295-3045
Practice Address - Fax:855-244-4085
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27302183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist