Provider Demographics
NPI:1871753822
Name:BRADLEY, RACHEL H (RPH)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:H
Last Name:BRADLEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:H
Other - Last Name:LAPINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:226 PHEASANT LN
Mailing Address - Street 2:
Mailing Address - City:COGAN STATION
Mailing Address - State:PA
Mailing Address - Zip Code:17728-8365
Mailing Address - Country:US
Mailing Address - Phone:570-419-8217
Mailing Address - Fax:272-202-4702
Practice Address - Street 1:1490 HIGH ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-1664
Practice Address - Country:US
Practice Address - Phone:570-218-4402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044560T183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist