NPI 1225470123

Rebekah Lautensack, RPH

Practitioner Pharmacist Englewood, OH

Practice location

Address: 900 Union Blvd, Englewood, OH 45322-2221
Phone: (937) 836-5204
Mailing address: 1345 Deagleway Dr APT F, Fairborn, OH 45324-9479

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 3233144 (OH)

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Registry record

NPI: 1225470123
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2013
Record last updated: 22 Jul 2013

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.