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NPI Code Detail

MEDICARE: REBECCA A VAREL RPH

MEDICARE: REBECCA A VAREL RPH
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
1183500000XPharmacist051-289262IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1051.289262OTHERILSTATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

General Provider Information

NPI Number : 1538449178
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA A VAREL RPH
Provider Business Mailing Address
First Line : 1190 COLLINSVILLE CROSSING BLVD
Second Line :
City : COLLINSVILLE
State : IL
Zip : 62234-1880
Country : US
Telephone Number : 618-343-0297
Fax Number : 618-343-1251
Provider Business Practice Location Address
First Line : 1190 COLLINSVILLE CROSSING BLVD
Second Line :
City : COLLINSVILLE
State : IL
Zip : 62234-1880
Country : US
Telephone Number : 618-343-0297
Fax Number : 618-343-1251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2011
Last Update Date : 04/27/2021

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