Provider Demographics
NPI:1447724992
Name:DUNNAM, RACHEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:DUNNAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 JUDSON DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-3008
Mailing Address - Country:US
Mailing Address - Phone:205-300-5216
Mailing Address - Fax:
Practice Address - Street 1:685 SCHILLINGER RD S
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-8922
Practice Address - Country:US
Practice Address - Phone:251-633-2216
Practice Address - Fax:251-633-8216
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-17
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22076183500000X
ALS12378390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes183500000XPharmacy Service ProvidersPharmacist