Provider Demographics
NPI:1568865814
Name:REEVE, JOANNE WAI-AHN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:WAI-AHN
Last Name:REEVE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 S ST
Mailing Address - Street 2:APT 370
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-7078
Mailing Address - Country:US
Mailing Address - Phone:949-751-7445
Mailing Address - Fax:
Practice Address - Street 1:3521 DEL PASO RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-2800
Practice Address - Country:US
Practice Address - Phone:916-515-1866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA71633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist