Provider Demographics
NPI:1689806366
Name:BOONE, RACHEL LARAE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LARAE
Last Name:BOONE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:LARAE
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:119 S MILL ST
Mailing Address - Street 2:P.O. BOX 629
Mailing Address - City:LINDEN
Mailing Address - State:TN
Mailing Address - Zip Code:37096-6457
Mailing Address - Country:US
Mailing Address - Phone:931-589-2146
Mailing Address - Fax:931-589-2890
Practice Address - Street 1:215 DEXTER L WOODS MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:TN
Practice Address - Zip Code:38485-2416
Practice Address - Country:US
Practice Address - Phone:931-722-5466
Practice Address - Fax:931-722-9495
Is Sole Proprietor?:No
Enumeration Date:2009-08-14
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33595183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist