Provider Demographics
NPI:1154695989
Name:ROW, REBEKA H
Entity type:Individual
Prefix:
First Name:REBEKA
Middle Name:H
Last Name:ROW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8130 WALCOT LN
Mailing Address - Street 2:UNIT E
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-4527
Mailing Address - Country:US
Mailing Address - Phone:513-544-7111
Mailing Address - Fax:
Practice Address - Street 1:9032 NOTTINGHAM WAY
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1288
Practice Address - Country:US
Practice Address - Phone:513-442-2619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03224850183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist