Provider Demographics
NPI:1366575441
Name:BURTON, REBECCA ELIZABETH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ELIZABETH
Last Name:BURTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9315 SHIPPTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:EMPIRE
Mailing Address - State:AL
Mailing Address - Zip Code:35063
Mailing Address - Country:US
Mailing Address - Phone:205-590-3577
Mailing Address - Fax:205-590-3577
Practice Address - Street 1:610 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-2827
Practice Address - Country:US
Practice Address - Phone:256-739-4601
Practice Address - Fax:256-775-1285
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist