MEDICARE: REBECCA RIAL PHARMD

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
1	183500000X	Pharmacist	03129474	OH

General Provider Information

NPI Number	:	1760765010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA RIAL PHARMD

Provider Business Mailing Address
First Line	:	361 E WATERLOO RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44319-1218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	361 E WATERLOO RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44319-1218
Country	:	US
Telephone Number	:	330-724-2709
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2011
Last Update Date	:	08/07/2012

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