Individual
REBECCA REVOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
8333 ROCKSIDE RD, CLEVELAND, OH 44125-6134
(216) 369-2200
Mailing address
8333 ROCKSIDE RD, CLEVELAND, OH 44125-6134
(216) 369-2200
(216) 369-2201
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30062747
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30062747
CPHT
OH
01
—
444894
NABP
OH
Enumeration date
08/23/2023
Last updated
08/23/2023
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