Provider Demographics
NPI:1912165408
Name:DEARMOND, REBECCA HILL II
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:HILL
Last Name:DEARMOND
Suffix:II
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:VA
Mailing Address - Zip Code:24236-0069
Mailing Address - Country:US
Mailing Address - Phone:276-475-5022
Mailing Address - Fax:276-475-3614
Practice Address - Street 1:204 S SHADY AVE
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:VA
Practice Address - Zip Code:24236
Practice Address - Country:US
Practice Address - Phone:276-475-5022
Practice Address - Fax:276-475-3614
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010637183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist