Provider Demographics
NPI:1720103815
Name:NEWELL, RITA RUSH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:RUSH
Last Name:NEWELL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7981 DAVID NEWELL RD
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-8441
Mailing Address - Country:US
Mailing Address - Phone:601-679-7602
Mailing Address - Fax:
Practice Address - Street 1:2014 HIGHWAY 45 N
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-2705
Practice Address - Country:US
Practice Address - Phone:601-482-5799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR5716183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist