Provider Demographics
NPI:1477833515
Name:TERRELL, RASHAD DEQUIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RASHAD
Middle Name:DEQUIN
Last Name:TERRELL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9031 SIEGEN LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-1951
Mailing Address - Country:US
Mailing Address - Phone:225-767-1997
Mailing Address - Fax:225-757-0667
Practice Address - Street 1:9031 SIEGEN LN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-1951
Practice Address - Country:US
Practice Address - Phone:225-767-1997
Practice Address - Fax:225-757-0667
Is Sole Proprietor?:No
Enumeration Date:2011-08-21
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist