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General NPI Number Information
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NPI Number | 1619564101
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Entity Type | Individual
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Provider Name | AMANDA L REEDER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 1325 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77090-3808
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Country | US
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Telephone | 281-444-4582
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Fax |
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Provider Business Mailing Address
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Address Line | 13458 OAK HOLLOW DR
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City | CYPRESS
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State | TX
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Zip | 77429-2933
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Country | US
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Telephone | 314-609-0775
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 61145
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License Number State | TX
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