Provider Demographics
NPI:1750574406
Name:GUTHRIE, REBEKAH K (RPH)
Entity type:Individual
Prefix:MS
First Name:REBEKAH
Middle Name:K
Last Name:GUTHRIE
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 1:46 SMOKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:VA
Mailing Address - Zip Code:22963-2828
Mailing Address - Country:US
Mailing Address - Phone:434-996-9364
Mailing Address - Fax:
Practice Address - Street 1:46 SMOKEWOOD DR
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:VA
Practice Address - Zip Code:22963-2828
Practice Address - Country:US
Practice Address - Phone:434-996-9364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist