Provider Demographics
NPI:1851633887
Name:SAUSTRIA, REBECCA ASHLEY (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ASHLEY
Last Name:SAUSTRIA
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 SEWARD HWY
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-4171
Mailing Address - Country:US
Mailing Address - Phone:907-891-5101
Mailing Address - Fax:
Practice Address - Street 1:2920 SEWARD HWY
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-4171
Practice Address - Country:US
Practice Address - Phone:907-339-0660
Practice Address - Fax:907-339-0619
Is Sole Proprietor?:No
Enumeration Date:2013-03-16
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKPHAP2162183500000X
AK21621835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist