Provider Demographics
NPI:1740882273
Name:REDDINGTON, VERONICA ESTELA (RPH)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:ESTELA
Last Name:REDDINGTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 FM 518 RD
Mailing Address - Street 2:
Mailing Address - City:KEMAH
Mailing Address - State:TX
Mailing Address - Zip Code:77565-3219
Mailing Address - Country:US
Mailing Address - Phone:281-538-9978
Mailing Address - Fax:
Practice Address - Street 1:255 FM 518 RD
Practice Address - Street 2:
Practice Address - City:KEMAH
Practice Address - State:TX
Practice Address - Zip Code:77565-3219
Practice Address - Country:US
Practice Address - Phone:281-538-9978
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
TX37601183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist