Provider Demographics
NPI:1619577061
Name:NEIL, RACHAEL ASHLEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:ASHLEY
Last Name:NEIL
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 1:2602 HARVEST HILL DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-8298
Mailing Address - Country:US
Mailing Address - Phone:517-250-2446
Mailing Address - Fax:
Practice Address - Street 1:26090 INGERSOL DR
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1212
Practice Address - Country:US
Practice Address - Phone:248-277-4562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5315109591183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist