Provider Demographics
NPI:1669719118
Name:ROCHA, RACHEL ANNA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ANNA
Last Name:ROCHA
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 1:2148 EMKAY DR
Mailing Address - Street 2:
Mailing Address - City:OTTAWA HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:43606-2541
Mailing Address - Country:US
Mailing Address - Phone:419-215-5260
Mailing Address - Fax:
Practice Address - Street 1:2100 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3800
Practice Address - Country:US
Practice Address - Phone:419-291-4458
Practice Address - Fax:419-480-6608
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-03
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03131739183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist