Provider Demographics
NPI:1497365274
Name:DEMERS, RACHEL REYNOLDS
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:REYNOLDS
Last Name:DEMERS
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 1:1109 CAMELLIA RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1677
Mailing Address - Country:US
Mailing Address - Phone:205-739-8390
Mailing Address - Fax:
Practice Address - Street 1:3201 ENDEAVOR LN
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35242-8250
Practice Address - Country:US
Practice Address - Phone:205-421-2983
Practice Address - Fax:205-558-0285
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21523183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist