Provider Demographics
NPI:1821118597
Name:REBER, DONNA LYNNE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LYNNE
Last Name:REBER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 ASHAR AVE
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-2865
Mailing Address - Country:US
Mailing Address - Phone:406-862-4611
Mailing Address - Fax:
Practice Address - Street 1:910 ASHAR AVE
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-2865
Practice Address - Country:US
Practice Address - Phone:406-862-4611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3918183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist