Provider Demographics
NPI:1902895188
Name:CHEEK, REBECCA GAY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:GAY
Last Name:CHEEK
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 1:2010 E LAUREL RD
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-6861
Mailing Address - Country:US
Mailing Address - Phone:606-877-4203
Mailing Address - Fax:
Practice Address - Street 1:211 US HIGHWAY 421
Practice Address - Street 2:
Practice Address - City:MCKEE
Practice Address - State:KY
Practice Address - Zip Code:40447-9425
Practice Address - Country:US
Practice Address - Phone:606-287-7104
Practice Address - Fax:606-287-3348
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY011362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY011362OtherSTATE LICENSE