Healthcare Provider Details

I. General information

NPI: 1427647932
Provider Name (Legal Business Name): AMANDA JANE REMBOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2021
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23500 CIRCLE OAK PKWY
RICHMOND TX
77469-2509
US

IV. Provider business mailing address

23500 CIRCLE OAK PKWY
RICHMOND TX
77469-2509
US

V. Phone/Fax

Practice location:
  • Phone: 281-239-3731
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number74271
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: