Provider Demographics
NPI:1710255351
Name:RICHMAN, RACHEL (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:
Last Name:RICHMAN
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 1:467 CROWN DR
Mailing Address - Street 2:APARTMENT #467
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-8599
Mailing Address - Country:US
Mailing Address - Phone:803-493-6133
Mailing Address - Fax:
Practice Address - Street 1:1750 HIGHWAY 160 W
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-8009
Practice Address - Country:US
Practice Address - Phone:803-396-0450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-10
Last Update Date:2011-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13412183500000X
NC21925183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist