Provider Demographics
NPI:1821340878
Name:NEWELL-HORTON, RHONDA KAY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:KAY
Last Name:NEWELL-HORTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:RHONDA
Other - Middle Name:KAY
Other - Last Name:HORTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:6368 ANGEL CT NW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44481-9492
Mailing Address - Country:US
Mailing Address - Phone:330-719-8250
Mailing Address - Fax:330-847-9838
Practice Address - Street 1:6368 ANGEL CT NW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44481-9492
Practice Address - Country:US
Practice Address - Phone:330-719-8250
Practice Address - Fax:330-847-9838
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-20845183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist