Healthcare Provider Details

I. General information

NPI: 1134591340
Provider Name (Legal Business Name): SHEREE LYN REED PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2015
Last Update Date: 10/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 REDWOOD HWY FRONTAGE RD #10
MILL VALLEY CA
94941
US

IV. Provider business mailing address

800 REDWOOD HWY FRONTAGE RD #10
MILL VALLEY CA
94941
US

V. Phone/Fax

Practice location:
  • Phone: 415-360-9020
  • Fax: 415-360-9021
Mailing address:
  • Phone: 415-360-9020
  • Fax: 415-360-9021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number68143
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: