Provider Demographics
NPI:1679799829
Name:REICHERT, DAVID E (BSPHARM,PHARMD,CCRA)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:REICHERT
Suffix:
Gender:M
Credentials:BSPHARM,PHARMD,CCRA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3221 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-2751
Mailing Address - Country:US
Mailing Address - Phone:512-364-4000
Mailing Address - Fax:
Practice Address - Street 1:3221 CHERRY LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-2751
Practice Address - Country:US
Practice Address - Phone:512-327-2522
Practice Address - Fax:512-327-2522
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251191835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX466361Medicaid