Healthcare Provider Details

I. General information

NPI: 1437930153
Provider Name (Legal Business Name): RACHEL RATLIFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

695 KINKAID RD
ANNAPOLIS MD
21402-1006
US

IV. Provider business mailing address

6910 ANDERSONS WAY APT 202
LAUREL MD
20707-5287
US

V. Phone/Fax

Practice location:
  • Phone: 410-293-2273
  • Fax:
Mailing address:
  • Phone: 916-479-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberP10868
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: