Healthcare Provider Details

I. General information

NPI: 1174434674
Provider Name (Legal Business Name): REBECCA OSCAR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 S EDGEWOOD DR
KNOX IN
46534-8226
US

IV. Provider business mailing address

1002 S EDGEWOOD DR
KNOX IN
46534-8226
US

V. Phone/Fax

Practice location:
  • Phone: 574-772-6030
  • Fax: 574-999-3156
Mailing address:
  • Phone: 574-772-6030
  • Fax: 574-999-3156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26020783A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: