Provider Demographics
NPI:1215343454
Name:BORGES, RACHEL ELISE (BS PHARMD RPH)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELISE
Last Name:BORGES
Suffix:
Gender:F
Credentials:BS PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-6501
Mailing Address - Country:US
Mailing Address - Phone:508-477-0137
Mailing Address - Fax:
Practice Address - Street 1:591 METACOM AVE
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-5131
Practice Address - Country:US
Practice Address - Phone:401-254-3903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH235232183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist