Provider Demographics
NPI:1952457129
Name:SIMS, RACHEL MORVANT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MORVANT
Last Name:SIMS
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 1:2091 W FARMVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:AL
Mailing Address - Zip Code:36879-4628
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4045 ATLANTA HWY
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-2920
Practice Address - Country:US
Practice Address - Phone:334-260-7788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2009-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14680183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist