Provider Demographics
NPI:1245853639
Name:ARNOLD, REBECCA MONTGOMERY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MONTGOMERY
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:611 MCDOWELL AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-1225
Mailing Address - Country:US
Mailing Address - Phone:540-491-0409
Mailing Address - Fax:540-339-6038
Practice Address - Street 1:611 MCDOWELL AVE NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-1225
Practice Address - Country:US
Practice Address - Phone:540-491-0409
Practice Address - Fax:540-339-6038
Is Sole Proprietor?:No
Enumeration Date:2020-05-20
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022067921835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric