Provider Demographics
NPI:1740584382
Name:POSTON, REBECCA R
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:R
Last Name:POSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5526 LAKE MARY JESS SHORES CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-2967
Mailing Address - Country:US
Mailing Address - Phone:407-858-9403
Mailing Address - Fax:
Practice Address - Street 1:5526 LAKE MARY JESS SHORES CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-2967
Practice Address - Country:US
Practice Address - Phone:407-858-9403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS19511183500000X
GARPH13656183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist