Provider Demographics
NPI:1821878570
Name:TREMPE, RACHAEL MICHELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:MICHELLE
Last Name:TREMPE
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 1:3226 142ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:HAM LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55304-6854
Mailing Address - Country:US
Mailing Address - Phone:651-395-9726
Mailing Address - Fax:
Practice Address - Street 1:10240 HUDSON RD
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55129-9111
Practice Address - Country:US
Practice Address - Phone:651-735-5190
Practice Address - Fax:651-735-5193
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN126137183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist