Provider Demographics
NPI:1871893933
Name:ZIEGLER, REBECCA ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:ANN
Other - Last Name:EASTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:904 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-9112
Mailing Address - Country:US
Mailing Address - Phone:360-723-9046
Mailing Address - Fax:360-723-9034
Practice Address - Street 1:904 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-9112
Practice Address - Country:US
Practice Address - Phone:360-723-9046
Practice Address - Fax:360-723-9034
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 00060208183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist