Provider Demographics
NPI:1750681037
Name:CALVERT, REBEKAH S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:S
Last Name:CALVERT
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 1:501 N MILLER ST
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2041
Mailing Address - Country:US
Mailing Address - Phone:509-663-5575
Mailing Address - Fax:509-662-5676
Practice Address - Street 1:501 N MILLER ST
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2041
Practice Address - Country:US
Practice Address - Phone:509-663-5575
Practice Address - Fax:509-662-5676
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00021265183500000X, 163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator