Provider Demographics
NPI:1023785193
Name:TEJURA, REENA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:REENA
Middle Name:
Last Name:TEJURA
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 1:2208 MISSION ST UNIT 406
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-1889
Mailing Address - Country:US
Mailing Address - Phone:267-973-6767
Mailing Address - Fax:
Practice Address - Street 1:15 MARINA BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-1201
Practice Address - Country:US
Practice Address - Phone:415-563-8681
Practice Address - Fax:415-563-7718
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist