Provider Demographics
NPI:1417214461
Name:OLSZEWSKI, REBECCA GLORIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:GLORIA
Last Name:OLSZEWSKI
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 1:1002 VERAY CT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-5669
Mailing Address - Country:US
Mailing Address - Phone:440-537-5244
Mailing Address - Fax:
Practice Address - Street 1:1002 VERAY CT
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-5669
Practice Address - Country:US
Practice Address - Phone:440-537-5244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12294183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist