Healthcare Provider Details

I. General information

NPI: 1609174028
Provider Name (Legal Business Name): MS. REBEKAH E HOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2011
Last Update Date: 03/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W MAIN ST
ROMNEY WV
26757-1640
US

IV. Provider business mailing address

HC 79 BOX 36I
ROMNEY WV
26757-9507
US

V. Phone/Fax

Practice location:
  • Phone: 304-822-3929
  • Fax: 304-822-3908
Mailing address:
  • Phone: 304-822-5304
  • Fax: 304-822-3908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0005115
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: