Provider Demographics
NPI:1053911602
Name:REHER, ANDRE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANDRE
Middle Name:
Last Name:REHER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6185 RETAIL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-7807
Mailing Address - Country:US
Mailing Address - Phone:214-382-2525
Mailing Address - Fax:
Practice Address - Street 1:6185 RETAIL RD STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7807
Practice Address - Country:US
Practice Address - Phone:214-382-2525
Practice Address - Fax:214-382-2426
Is Sole Proprietor?:No
Enumeration Date:2020-10-31
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX55746OtherTEXAS BOARD OF PHARMACY