Provider Demographics
NPI:1528338936
Name:USREY, RHONDA ARNELL (PHARMACIST)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:ARNELL
Last Name:USREY
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5122 SADDLE CIR
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-4892
Mailing Address - Country:US
Mailing Address - Phone:706-434-9588
Mailing Address - Fax:
Practice Address - Street 1:5122 SADDLE CIR
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-4892
Practice Address - Country:US
Practice Address - Phone:706-434-9588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024054183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist