NPI 1003147836

James Rebello

Practitioner Pharmacist Fairborn, OH

Practice location

Address: 4881 Sugar Maple Dr, Fairborn, OH 45433-5315
Phone: (937) 257-9014
Mailing address: 4881 Sugar Maple Dr, Dayton, OH 45433-5529

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH04947 (RI)

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Registry record

NPI: 1003147836
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2010
Record last updated: 23 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.