Provider Demographics
NPI:1659131118
Name:FREMAULT, RACHEL JACQUELINE (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:JACQUELINE
Last Name:FREMAULT
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 1:2605 FIR CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-8753
Mailing Address - Country:US
Mailing Address - Phone:339-222-0885
Mailing Address - Fax:
Practice Address - Street 1:339 FERRY ST
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-1412
Practice Address - Country:US
Practice Address - Phone:360-853-2003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH614901401835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist