Provider Demographics
NPI:1457682429
Name:BAINTER, REBECCA LYNNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LYNNE
Last Name:BAINTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:LYNNE
Other - Last Name:BAINTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:22278 E ESCALANTE RD
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-7430
Mailing Address - Country:US
Mailing Address - Phone:602-697-0394
Mailing Address - Fax:
Practice Address - Street 1:8901 E MOUNTAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4422
Practice Address - Country:US
Practice Address - Phone:480-696-4020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14680183500000X
AZS0146801835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Yes183500000XPharmacy Service ProvidersPharmacist