Provider Demographics
NPI:1932720604
Name:RENTSCHLER, ALEXANDRA ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:ELIZABETH
Last Name:RENTSCHLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ALEXANDRA
Other - Middle Name:ELIZABETH
Other - Last Name:AUCOIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:34 E MAIN ST S
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-2930
Mailing Address - Country:US
Mailing Address - Phone:770-946-5172
Mailing Address - Fax:
Practice Address - Street 1:34 E MAIN ST S
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-2930
Practice Address - Country:US
Practice Address - Phone:770-946-5172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH030821183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARPH030821OtherGEORGIA BOARD OF PHARMACY