Provider Demographics
NPI:1518219286
Name:COOK, RACHAEL LEIGH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:LEIGH
Last Name:COOK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:RACHAEL
Other - Middle Name:LEIGH
Other - Last Name:MEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2077 CONVENTION CENTER CONCOURSE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30337-4201
Mailing Address - Country:US
Mailing Address - Phone:404-669-4528
Mailing Address - Fax:
Practice Address - Street 1:2077 CONVENTION CENTER CONCOURSE
Practice Address - Street 2:SUITE 400
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30337-4201
Practice Address - Country:US
Practice Address - Phone:404-669-4528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019443183500000X
GARPH028016183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist