Provider Demographics
NPI:1487999330
Name:ESKEW, REBECCA EVANS (PHARMD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:EVANS
Last Name:ESKEW
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:EVANS
Other - Last Name:ESKEW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:656 BRECKENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-6167
Mailing Address - Country:US
Mailing Address - Phone:864-240-2020
Mailing Address - Fax:
Practice Address - Street 1:400 E MCBEE AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-2940
Practice Address - Country:US
Practice Address - Phone:864-240-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10984183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist