Provider Demographics
NPI:1124646922
Name:LAMORE, REBECCA R (PHARMD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:R
Last Name:LAMORE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:R
Other - Last Name:GERSKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:59 OLD POST RD APT CR2
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-1863
Mailing Address - Country:US
Mailing Address - Phone:708-941-6252
Mailing Address - Fax:
Practice Address - Street 1:100 RETREAT AVE STE 102B
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-2528
Practice Address - Country:US
Practice Address - Phone:860-595-1813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0015237183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist