Provider Demographics
NPI:1740524891
Name:RALEY, RACHEL A (PHARMD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:RALEY
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 1:4852 STATE ROUTE 81
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12083-7701
Mailing Address - Country:US
Mailing Address - Phone:518-966-4800
Mailing Address - Fax:
Practice Address - Street 1:4852 STATE ROUTE 81
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NY
Practice Address - Zip Code:12083-7701
Practice Address - Country:US
Practice Address - Phone:518-966-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056907183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist