Provider Demographics
NPI:1962811083
Name:HANSEN, RACHEL CECELIA DAY (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:CECELIA DAY
Last Name:HANSEN
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:CECELIA
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DOCTOR OF PHARMACY
Mailing Address - Street 1:1101 RED BUD RD NE
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-9278
Mailing Address - Country:US
Mailing Address - Phone:706-602-8900
Mailing Address - Fax:
Practice Address - Street 1:1101 RED BUD RD NE
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-9278
Practice Address - Country:US
Practice Address - Phone:706-602-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH026224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist