Provider Demographics
NPI:1659712347
Name:SHOWERY, RAELENE MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RAELENE
Middle Name:MARIE
Last Name:SHOWERY
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 1:12056 VAN DYKE CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6300
Mailing Address - Country:US
Mailing Address - Phone:915-487-7396
Mailing Address - Fax:
Practice Address - Street 1:1 UNIVERSITY STA STOP A1910
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712-0124
Practice Address - Country:US
Practice Address - Phone:915-487-7396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX518461835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist