Provider Demographics
NPI:1043260201
Name:EDDY, RHONDA KAY (RPH)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:KAY
Last Name:EDDY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 9TH ST NE APT C201
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-6801
Mailing Address - Country:US
Mailing Address - Phone:509-860-4670
Mailing Address - Fax:
Practice Address - Street 1:11 GRANT RD
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-5328
Practice Address - Country:US
Practice Address - Phone:509-881-2833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA0021771183500000X
FLPS56688183500000X
WAPH00015631183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist