Provider Demographics
NPI:1861026536
Name:PINKSTON, RENEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:PINKSTON
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 1:135 OLD SAN ANTONIO RD APT 1108
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-3456
Mailing Address - Country:US
Mailing Address - Phone:830-438-7451
Mailing Address - Fax:
Practice Address - Street 1:24165 IH 10 W
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257-1449
Practice Address - Country:US
Practice Address - Phone:210-687-1072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist