Provider Demographics
NPI:1265066187
Name:NORMAN, RACHEL LEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LEE
Last Name:NORMAN
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 1:2450 ALEXANDER LAKE DR SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-7500
Mailing Address - Country:US
Mailing Address - Phone:770-617-4027
Mailing Address - Fax:
Practice Address - Street 1:1720 MARS HILL RD NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-7127
Practice Address - Country:US
Practice Address - Phone:770-419-5495
Practice Address - Fax:678-581-0231
Is Sole Proprietor?:No
Enumeration Date:2020-02-29
Last Update Date:2020-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0237541835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist