Provider Demographics
NPI:1568975340
Name:SILVER, REBECCA JILL (PHARMD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:JILL
Last Name:SILVER
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 1:2165 NW 10TH ST APT D
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-8402
Mailing Address - Country:US
Mailing Address - Phone:561-702-3930
Mailing Address - Fax:
Practice Address - Street 1:2165 NW 10TH ST APT D
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-8402
Practice Address - Country:US
Practice Address - Phone:561-702-3930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL50450183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist