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NPI Code Detail

MEDICARE: DR. REBECCA WISE CUMMINGS PHARMD

MEDICARE: DR. REBECCA WISE CUMMINGS PHARMD
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
1183500000XPharmacistRPH021296GA

General Provider Information

NPI Number : 1639176191
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA WISE CUMMINGS PHARMD
Provider Business Mailing Address
First Line : 1301 CEDAR CREEK DR
Second Line :
City : OPELIKA
State : AL
Zip : 36801-2335
Country : US
Telephone Number : 334-745-2375
Fax Number :
Provider Business Practice Location Address
First Line : 710 CENTER ST
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1527
Country : US
Telephone Number : 706-571-1495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 07/09/2012

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