Provider Demographics
NPI:1427440163
Name:SPALDING, REBECCA BOBBITT (RPH)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:BOBBITT
Last Name:SPALDING
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 1:924 STOCKLEYBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-7788
Mailing Address - Country:US
Mailing Address - Phone:757-653-7262
Mailing Address - Fax:
Practice Address - Street 1:6259 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-2610
Practice Address - Country:US
Practice Address - Phone:757-483-9833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202009690183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist