Healthcare Provider Details

I. General information

NPI: 1801774930
Provider Name (Legal Business Name): RACHEL ELIZABETH KHAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 S MAIN ST
MIDDLEBORO MA
02346-1838
US

IV. Provider business mailing address

131 S MAIN ST
MIDDLEBORO MA
02346-1838
US

V. Phone/Fax

Practice location:
  • Phone: 508-946-0149
  • Fax:
Mailing address:
  • Phone: 508-946-0149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH240078
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: