Provider Demographics
NPI:1154923035
Name:SMELLEY, RACHEL TARA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:TARA
Last Name:SMELLEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 14TH TER S UNIT A
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-6265
Mailing Address - Country:US
Mailing Address - Phone:251-751-4367
Mailing Address - Fax:
Practice Address - Street 1:4496 VALLEYDALE RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-4666
Practice Address - Country:US
Practice Address - Phone:981-205-2362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-15
Last Update Date:2020-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21673183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist