Provider Demographics
NPI:1932324837
Name:RAWLINS, NEILA HODGES (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:NEILA
Middle Name:HODGES
Last Name:RAWLINS
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 SWEET LICK RD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:KY
Mailing Address - Zip Code:40336-7734
Mailing Address - Country:US
Mailing Address - Phone:606-723-4922
Mailing Address - Fax:606-723-8669
Practice Address - Street 1:1220 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:KY
Practice Address - Zip Code:40336-7232
Practice Address - Country:US
Practice Address - Phone:606-723-5315
Practice Address - Fax:606-723-8669
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician