Provider Demographics
NPI:1952943292
Name:OAKES, RACHEL ROBERTS
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ROBERTS
Last Name:OAKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 AL HIGHWAY 69 S
Mailing Address - Street 2:
Mailing Address - City:HANCEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35077-3403
Mailing Address - Country:US
Mailing Address - Phone:256-287-3333
Mailing Address - Fax:256-287-3355
Practice Address - Street 1:561 ALABAMA HIGHWAY 69 SOUTH
Practice Address - Street 2:
Practice Address - City:HANCEVILLE
Practice Address - State:AL
Practice Address - Zip Code:35077-3403
Practice Address - Country:US
Practice Address - Phone:256-287-3333
Practice Address - Fax:256-287-3355
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12795183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist