Provider Demographics
NPI:1619465218
Name:R & E PHARMACIES, INC
Entity Type:Organization
Organization Name:R & E PHARMACIES, INC
Other - Org Name:CHOICE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:769-300-4906
Mailing Address - Street 1:396 HIGHWAY 51 STE B
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-3426
Mailing Address - Country:US
Mailing Address - Phone:769-300-4906
Mailing Address - Fax:769-300-0469
Practice Address - Street 1:396 HIGHWAY 51 STE B
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-3426
Practice Address - Country:US
Practice Address - Phone:769-300-4906
Practice Address - Fax:769-300-0469
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:R & E PHARMACIES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-29
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS170533336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FR7481120OtherDEA