Provider Demographics
NPI:1851356521
Name:GEATER, RENE' ELAINE MITCHELL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RENE'
Middle Name:ELAINE MITCHELL
Last Name:GEATER
Suffix:
Gender:F
Credentials:PHARMD
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Other - Credentials:
Mailing Address - Street 1:DWIGHT D. EISENHOWER VA MEDICAL CENTER
Mailing Address - Street 2:4101 S. 4TH ST. TRAFFICWAY
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-7474
Mailing Address - Country:US
Mailing Address - Phone:913-682-2000
Mailing Address - Fax:913-758-4109
Practice Address - Street 1:DWIGHT D. EISENHOWER VA MEDICAL CENTER
Practice Address - Street 2:4101 S. 4TH ST. TRAFFICWAY
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-7474
Practice Address - Country:US
Practice Address - Phone:913-682-2000
Practice Address - Fax:913-758-4109
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA163711835P1200X
IL1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy