Individual
REBECCA WINGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5765 NEW CASTLE LN, BETTENDORF, IA 52722-1190
(904) 910-7866
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(844) 931-2178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS37898
FL
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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