Individual
MRS. RACHEL ELIZABETH GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
430 W MAIN ST APT 204, MADISON, WI 53703-3182
(608) 251-2930
Mailing address
430 W MAIN ST APT 204, MADISON, WI 53703-3182
(608) 251-2930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14363-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14363-40
PHARMACIST
WI
Enumeration date
12/17/2007
Last updated
12/20/2007
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