Provider Demographics
NPI:1932447844
Name:GODFREY, RACHEL (CPHT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:GODFREY
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 N MAIN ST
Mailing Address - Street 2:MCLESKEY TODD PHARMACY OF GREER
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650
Mailing Address - Country:US
Mailing Address - Phone:864-877-0753
Mailing Address - Fax:864-877-5171
Practice Address - Street 1:109 N MAIN ST
Practice Address - Street 2:MCLESKEY TODD PHARMACY OF GREER
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650
Practice Address - Country:US
Practice Address - Phone:864-877-0753
Practice Address - Fax:864-877-5171
Is Sole Proprietor?:No
Enumeration Date:2013-01-28
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17808183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician