Provider Demographics
NPI:1902180425
Name:PILLAI, RACHANA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:RACHANA
Middle Name:
Last Name:PILLAI
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 1:100 WOODS RD STE A1-105
Mailing Address - Street 2:
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1530
Mailing Address - Country:US
Mailing Address - Phone:914-846-0848
Mailing Address - Fax:914-846-0849
Practice Address - Street 1:100 WOODS RD STE A1-105
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-846-0848
Practice Address - Fax:914-846-0849
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003974183500000X
NY057893183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist