Healthcare Provider Details

I. General information

NPI: 1295255032
Provider Name (Legal Business Name): RACHEL HIGGINBOTHAM PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2017
Last Update Date: 06/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 LEE ST
ROGERSVILLE AL
35652-7606
US

IV. Provider business mailing address

15379 PEPPER CREEK RD
HARVEST AL
35749-7606
US

V. Phone/Fax

Practice location:
  • Phone: 256-247-5451
  • Fax:
Mailing address:
  • Phone: 256-777-9802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16164
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: