Healthcare Provider Details

I. General information

NPI: 1689458655
Provider Name (Legal Business Name): REBECCA ANN LIEPINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 09/04/2023
Certification Date: 09/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 MOORES MILL RD
AUBURN AL
36830-8480
US

IV. Provider business mailing address

2568 E GLENN AVE UNIT 14307
AUBURN AL
36830-0015
US

V. Phone/Fax

Practice location:
  • Phone: 334-502-8667
  • Fax:
Mailing address:
  • Phone: 334-306-3119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23241
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: