Healthcare Provider Details

I. General information

NPI: 1609713593
Provider Name (Legal Business Name): RACHEL ANNE WOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 US HIGHWAY 90
DAPHNE AL
36526-9512
US

IV. Provider business mailing address

7101 US HIGHWAY 90
DAPHNE AL
36526-9512
US

V. Phone/Fax

Practice location:
  • Phone: 251-625-8400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20530
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: