Healthcare Provider Details

I. General information

NPI: 1538449178
Provider Name (Legal Business Name): REBECCA A VAREL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA A ADCOCK

II. Dates (important events)

Enumeration Date: 08/26/2011
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1171 FRANKLIN ST
CARLYLE IL
62231-1835
US

IV. Provider business mailing address

1171 FRANKLIN ST
CARLYLE IL
62231-1835
US

V. Phone/Fax

Practice location:
  • Phone: 618-594-2405
  • Fax: 618-594-2455
Mailing address:
  • Phone: 618-594-2405
  • Fax: 618-594-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051-289262
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: