Provider Demographics
NPI:1982996427
Name:CARCHIDI, REBECCA ANN
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ANN
Last Name:CARCHIDI
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 1:8 WHIMBREL DRIVE
Mailing Address - Street 2:PO BOX 608
Mailing Address - City:CATAUMET
Mailing Address - State:MA
Mailing Address - Zip Code:02534-0608
Mailing Address - Country:US
Mailing Address - Phone:508-563-1250
Mailing Address - Fax:
Practice Address - Street 1:121 MARION RD
Practice Address - Street 2:
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571-1423
Practice Address - Country:US
Practice Address - Phone:508-295-5772
Practice Address - Fax:508-291-1358
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19978183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist