Provider Demographics
NPI:1952550014
Name:MCELROY, REBECCA BENNETT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:BENNETT
Last Name:MCELROY
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 1:6523 GRAND HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517-6240
Mailing Address - Country:US
Mailing Address - Phone:678-231-7265
Mailing Address - Fax:770-718-0199
Practice Address - Street 1:2925 BROWNS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30504-5505
Practice Address - Country:US
Practice Address - Phone:770-532-2266
Practice Address - Fax:770-718-0199
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA023656183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist