Provider Demographics
NPI:1851398515
Name:SPIRO, RACHELLE F (RPH)
Entity Type:Individual
Prefix:MS
First Name:RACHELLE
Middle Name:F
Last Name:SPIRO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 FIRST ST
Mailing Address - Street 2:SUITE 1632
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-1676
Mailing Address - Country:US
Mailing Address - Phone:703-599-5051
Mailing Address - Fax:703-519-3673
Practice Address - Street 1:1200 FIRST ST
Practice Address - Street 2:SUITE 1632
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1676
Practice Address - Country:US
Practice Address - Phone:703-599-5051
Practice Address - Fax:703-519-3673
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9194183500000X
CO11967183500000X
VA0202207155183500000X
TX45114183500000X
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist