Provider Demographics
NPI:1053951517
Name:REIN, LEANNE JUSTIS (PHARMD)
Entity type:Individual
Prefix:
First Name:LEANNE
Middle Name:JUSTIS
Last Name:REIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LEANNE
Other - Middle Name:NICOLE
Other - Last Name:JUSTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2694 FESSEY CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2813
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2694 FESSEY CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2813
Practice Address - Country:US
Practice Address - Phone:615-600-3854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN394561835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist