Provider Demographics
NPI:1396040580
Name:REICHMANN, ANITA (RPH)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:REICHMANN
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 1:15411 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-4162
Mailing Address - Country:US
Mailing Address - Phone:301-476-8303
Mailing Address - Fax:301-476-8307
Practice Address - Street 1:15411 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-4162
Practice Address - Country:US
Practice Address - Phone:301-476-8303
Practice Address - Fax:301-476-8307
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11112183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist