Provider Demographics
NPI:1639771207
Name:REAMER, MARY GENEVIEVE (PHARMD)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:GENEVIEVE
Last Name:REAMER
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 1:8700 N HIGHWAY 146
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77523-6001
Mailing Address - Country:US
Mailing Address - Phone:281-918-3067
Mailing Address - Fax:
Practice Address - Street 1:8700 N HIGHWAY 146
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77523-6001
Practice Address - Country:US
Practice Address - Phone:281-918-3067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55527183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist