Provider Demographics
NPI:1053917021
Name:CORVESE, REBECCA ANN (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANN
Last Name:CORVESE
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 E STUART ST
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-3802
Mailing Address - Country:US
Mailing Address - Phone:401-447-6766
Mailing Address - Fax:
Practice Address - Street 1:170 GRANITE ST
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2462
Practice Address - Country:US
Practice Address - Phone:401-596-2734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH06203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist