Provider Demographics
NPI:1669726774
Name:WILLIAMS, RACHAEL (PHARMD, MBA)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 BYPASS RD
Mailing Address - Street 2:
Mailing Address - City:BRANDENBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40108-1702
Mailing Address - Country:US
Mailing Address - Phone:270-422-3532
Mailing Address - Fax:
Practice Address - Street 1:568 BYPASS RD
Practice Address - Street 2:
Practice Address - City:BRANDENBURG
Practice Address - State:KY
Practice Address - Zip Code:40108-1702
Practice Address - Country:US
Practice Address - Phone:270-422-3532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-29
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000036797183500000X
KY016088183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist