Provider Demographics
NPI:1548962095
Name:RACHAL, JOHN II (RPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:RACHAL
Suffix:II
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17316 SHEPHERDSTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:SHARPSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21782-1626
Mailing Address - Country:US
Mailing Address - Phone:301-432-7223
Mailing Address - Fax:301-432-4423
Practice Address - Street 1:17316 SHEPHERDSTOWN PIKE
Practice Address - Street 2:
Practice Address - City:SHARPSBURG
Practice Address - State:MD
Practice Address - Zip Code:21782-1626
Practice Address - Country:US
Practice Address - Phone:301-432-7223
Practice Address - Fax:301-432-4423
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12309183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist