Provider Demographics
NPI:1669795951
Name:POLICANO, RENEE M (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:M
Last Name:POLICANO
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:DR
Other - First Name:RENEE
Other - Middle Name:M
Other - Last Name:DYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, RPH
Mailing Address - Street 1:509 E CUMMING AVE
Mailing Address - Street 2:
Mailing Address - City:OPP
Mailing Address - State:AL
Mailing Address - Zip Code:36467-2251
Mailing Address - Country:US
Mailing Address - Phone:334-493-6563
Mailing Address - Fax:303-655-9171
Practice Address - Street 1:509 E CUMMING AVE
Practice Address - Street 2:
Practice Address - City:OPP
Practice Address - State:AL
Practice Address - Zip Code:36467-2251
Practice Address - Country:US
Practice Address - Phone:334-493-6563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17630183500000X
CO16795183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist