Provider Demographics
NPI:1790927937
Name:RECKNER, TOSHIKO N (RPH)
Entity Type:Individual
Prefix:MRS
First Name:TOSHIKO
Middle Name:N
Last Name:RECKNER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:TODDIE
Other - Middle Name:N
Other - Last Name:RECKNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:36 HOLLY COVE LN
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-6286
Mailing Address - Country:US
Mailing Address - Phone:302-697-6407
Mailing Address - Fax:
Practice Address - Street 1:36 HOLLY COVE LN
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-6286
Practice Address - Country:US
Practice Address - Phone:302-697-6407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA10001464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist