Provider Demographics
NPI:1023008281
Name:REEG-DHINGRA, MARY P (PHARMD MS)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:P
Last Name:REEG-DHINGRA
Suffix:
Gender:F
Credentials:PHARMD MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9217 TIMBERLINE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-1764
Mailing Address - Country:US
Mailing Address - Phone:509-860-2807
Mailing Address - Fax:888-600-2146
Practice Address - Street 1:9217 TIMBERLINE DR STE 1
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68152-1764
Practice Address - Country:US
Practice Address - Phone:509-860-2807
Practice Address - Fax:888-600-2146
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00043373183500000X
NE140201835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist