Provider Demographics
NPI:1730453218
Name:KEECHLER, REBEKAH MILLER COCKINS (RPH)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:MILLER COCKINS
Last Name:KEECHLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 344
Mailing Address - Street 2:
Mailing Address - City:CARNELIAN BAY
Mailing Address - State:CA
Mailing Address - Zip Code:96140
Mailing Address - Country:US
Mailing Address - Phone:775-230-5326
Mailing Address - Fax:
Practice Address - Street 1:1851 N CARSON ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-1216
Practice Address - Country:US
Practice Address - Phone:775-885-8881
Practice Address - Fax:775-885-8881
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16372183500000X
OR9341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist