Provider Demographics
NPI:1700473410
Name:CASEY, REBECCA F (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:F
Last Name:CASEY
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 1:2503 COOLEEWAHEE COVE CT
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31721-9287
Mailing Address - Country:US
Mailing Address - Phone:478-230-0956
Mailing Address - Fax:
Practice Address - Street 1:342 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:HAWKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31036-2103
Practice Address - Country:US
Practice Address - Phone:478-230-0956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0251271835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric