Basic Information
Provider Information
NPI: 1326476110
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCGALLIARD
FirstName: RACHEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: RPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 114 PHYLLIS DR
Address2:  
City: SAVANNAH
State: GA
PostalCode: 314192236
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1326 EISENHOWER DR
Address2:  
City: SAVANNAH
State: GA
PostalCode: 314063928
CountryCode: US
TelephoneNumber: 9126913528
FaxNumber: 9126913517
Other Information
ProviderEnumerationDate: 10/15/2013
LastUpdateDate: 10/15/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000XRPH020870GAY Pharmacy Service ProvidersPharmacist 

No ID Information.


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