Healthcare Provider Details

I. General information

NPI: 1184530578
Provider Name (Legal Business Name): RACHEL REESE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MULLICA HILL RD
MULLICA HILL NJ
08062-4413
US

IV. Provider business mailing address

10 CREST CIRCLE DR
MILLSTONE TOWNSHIP NJ
08510-8737
US

V. Phone/Fax

Practice location:
  • Phone: 732-770-8289
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04511700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: