Provider Demographics
NPI:1366737991
Name:BARTH, REBECCA ANN (RPH)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:BARTH
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 1:8680 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4710
Mailing Address - Country:US
Mailing Address - Phone:513-474-6367
Mailing Address - Fax:513-474-6367
Practice Address - Street 1:8680 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4710
Practice Address - Country:US
Practice Address - Phone:513-474-6367
Practice Address - Fax:513-474-6367
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-11
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03123028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist