Provider Demographics
NPI:1447531645
Name:ROMANO, RACHEL (PHARM D)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:ROMANO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 PHYLLISAIRE CT
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-6553
Mailing Address - Country:US
Mailing Address - Phone:636-244-0638
Mailing Address - Fax:
Practice Address - Street 1:4650 HIGHWAY K
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-8728
Practice Address - Country:US
Practice Address - Phone:636-329-9163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008028077183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist