Provider Demographics
NPI:1245562883
Name:HESTER, REBECCA SMITH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:SMITH
Last Name:HESTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S MAIN ST
Mailing Address - Street 2:PO BOX 508
Mailing Address - City:BLADENBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28320-0508
Mailing Address - Country:US
Mailing Address - Phone:910-863-3949
Mailing Address - Fax:910-863-3940
Practice Address - Street 1:102 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BLADENBORO
Practice Address - State:NC
Practice Address - Zip Code:28320
Practice Address - Country:US
Practice Address - Phone:910-863-3949
Practice Address - Fax:910-863-3940
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12266183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist