MEDICARE: MS. RACHELLE F SPIRO R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	9194	NV
2	183500000X	Pharmacist	11967	CO
3	183500000X	Pharmacist	0202207155	VA
4	183500000X	Pharmacist	45114	TX
5	183500000X	Pharmacist		IL

General Provider Information

NPI Number	:	1851398515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RACHELLE F SPIRO R.PH.

Provider Business Mailing Address
First Line	:	1200 FIRST ST
Second Line	:	SUITE 1632
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-1676
Country	:	US
Telephone Number	:	703-599-5051
Fax Number	:	703-519-3673

Provider Business Practice Location Address
First Line	:	1200 FIRST ST
Second Line	:	SUITE 1632
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-1676
Country	:	US
Telephone Number	:	703-599-5051
Fax Number	:	703-519-3673

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

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