Provider Demographics
NPI:1578590519
Name:BROOKS, REBECCA MURRAY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MURRAY
Last Name:BROOKS
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 1:1790 VIA CAPRI
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-2818
Mailing Address - Country:US
Mailing Address - Phone:321-636-2211
Mailing Address - Fax:321-449-0490
Practice Address - Street 1:125 E MERRITT ISLAND CSWY
Practice Address - Street 2:PHARMACY
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-3699
Practice Address - Country:US
Practice Address - Phone:321-452-2321
Practice Address - Fax:321-449-0490
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS38772183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist