Provider Demographics
NPI:1396827044
Name:REYES, REBECCA ELLEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ELLEN
Last Name:REYES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:ELLEN
Other - Last Name:GARNER/WHITAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:C/O MANIIAG HEALTH CENTER - PHARMACY DEPT.
Mailing Address - Street 2:436 5TH AVE
Mailing Address - City:KOTZEBUE
Mailing Address - State:AK
Mailing Address - Zip Code:99752
Mailing Address - Country:US
Mailing Address - Phone:602-573-2254
Mailing Address - Fax:
Practice Address - Street 1:C/O MANIIAG HEALTH CENTER - PHARMACY DEPT.
Practice Address - Street 2:436 5TH AVE
Practice Address - City:KOTZEBUE
Practice Address - State:AK
Practice Address - Zip Code:99752
Practice Address - Country:US
Practice Address - Phone:602-573-2254
Practice Address - Fax:602-263-1621
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS122661835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy