Provider Demographics
NPI:1437156403
Name:ENDOW-EYER, RENE AIKO (PHARMD, BCPP)
Entity Type:Individual
Prefix:DR
First Name:RENE
Middle Name:AIKO
Last Name:ENDOW-EYER
Suffix:
Gender:F
Credentials:PHARMD, BCPP
Other - Prefix:DR
Other - First Name:RENE
Other - Middle Name:AIKO
Other - Last Name:ENDOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD, BCPP
Mailing Address - Street 1:8810 RIO SAN DIEGO DR
Mailing Address - Street 2:MC: 116A4Z
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1698
Mailing Address - Country:US
Mailing Address - Phone:619-400-5191
Mailing Address - Fax:619-400-5171
Practice Address - Street 1:8810 RIO SAN DIEGO DR
Practice Address - Street 2:MC 116A4Z
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1622
Practice Address - Country:US
Practice Address - Phone:619-400-5191
Practice Address - Fax:619-400-5171
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 482441835P1200X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy