Provider Demographics
NPI:1578859682
Name:PLATTS, REBEKAH EILEEN (RPH)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:EILEEN
Last Name:PLATTS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15700 SHAWNEE MISSION PKWY
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66217-9321
Mailing Address - Country:US
Mailing Address - Phone:913-962-8222
Mailing Address - Fax:712-309-3391
Practice Address - Street 1:15700 SHAWNEE MISSION PKWY
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66217-9321
Practice Address - Country:US
Practice Address - Phone:913-962-8222
Practice Address - Fax:712-309-3391
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12995183500000X
AZS016202183500000X
KS1-15697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist