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NPI Code Detail

MEDICARE: DR. REBECCA WOOD MCCRAVEN PHARM.D.

MEDICARE: DR. REBECCA WOOD MCCRAVEN PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202205371VA

General Provider Information

NPI Number : 1538184767
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA WOOD MCCRAVEN PHARM.D.
Provider Business Mailing Address
First Line : 1970 ROANOKE BLVD
Second Line : DEPARTMENT OF PHARMACY (119)
City : SALEM
State : VA
Zip : 24153-6478
Country : US
Telephone Number : 540-982-2463
Fax Number : 540-855-3478
Provider Business Practice Location Address
First Line : 1970 ROANOKE BLVD
Second Line : DEPARTMENT OF PHARMACY (119)
City : SALEM
State : VA
Zip : 24153-6478
Country : US
Telephone Number : 540-982-2463
Fax Number : 540-855-3478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 01/02/2014

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