Provider Demographics
NPI:1871874271
Name:GARMON, REBECCA TODD (RPH)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:TODD
Last Name:GARMON
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 1:5402 ALVAMAR PL
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-8840
Mailing Address - Country:US
Mailing Address - Phone:317-373-1035
Mailing Address - Fax:
Practice Address - Street 1:12570 REYNOLDS DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-9266
Practice Address - Country:US
Practice Address - Phone:317-849-9116
Practice Address - Fax:317-849-9179
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26022255A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist