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NPI Code Detail

MEDICARE: MRS. REBECCA C SOMMERS B.S. PHARM

MEDICARE: MRS. REBECCA C SOMMERS B.S. PHARM
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
1183500000XPharmacistOH-3-03-14188OH

General Provider Information

NPI Number : 1891823555
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA C SOMMERS B.S. PHARM
Provider Business Mailing Address
First Line : 355 HIGH POINT DR
Second Line :
City : WADSWORTH
State : OH
Zip : 44281-2337
Country : US
Telephone Number : 330-334-6001
Fax Number : 253-390-4216
Provider Business Practice Location Address
First Line : 7235 WHIPPLE AVE NW
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-7137
Country : US
Telephone Number : 330-498-8059
Fax Number : 253-390-4216
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 07/08/2007

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