Provider Demographics
NPI:1457424194
Name:BREWER, RACHEL MCCLARY (PHARMD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MCCLARY
Last Name:BREWER
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 1:518 DENTVILLE RD
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:TN
Mailing Address - Zip Code:37325-7804
Mailing Address - Country:US
Mailing Address - Phone:423-338-9158
Mailing Address - Fax:
Practice Address - Street 1:55 MAIN STREET
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:TN
Practice Address - Zip Code:37307
Practice Address - Country:US
Practice Address - Phone:423-338-2521
Practice Address - Fax:423-338-1092
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25571183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist