Provider Demographics
NPI:1699823336
Name:FOX, RACHEL ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:FOX
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:ELIZABETH
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:509 W 98TH ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-4713
Mailing Address - Country:US
Mailing Address - Phone:952-884-7528
Mailing Address - Fax:952-884-6366
Practice Address - Street 1:509 W 98TH ST
Practice Address - Street 2:BLOOMINGTON DRUG PHARMACY
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-4713
Practice Address - Country:US
Practice Address - Phone:952-884-7528
Practice Address - Fax:952-884-6366
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2008-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist