Provider Demographics
NPI:1821835349
Name:CALLAHAN, REBECCA JON-MERRELL (PHARMD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JON-MERRELL
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:BECCA
Other - Middle Name:JON-MERRELL
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3124 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37914-4537
Mailing Address - Country:US
Mailing Address - Phone:678-446-9742
Mailing Address - Fax:
Practice Address - Street 1:3124 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37914-4537
Practice Address - Country:US
Practice Address - Phone:678-446-9742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN481111835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist