Provider Demographics
NPI:1124541453
Name:WEBER, REBECCA MAY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MAY
Last Name:WEBER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5786 E CAMINO REDENCION
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-8562
Mailing Address - Country:US
Mailing Address - Phone:520-449-4765
Mailing Address - Fax:
Practice Address - Street 1:825 E UNIVERSITY BLVD # 101
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-5046
Practice Address - Country:US
Practice Address - Phone:520-624-4519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-18
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS022703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist