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NPI Code Detail

MEDICARE: DANIEL B REITZELL PHARMD

MEDICARE: DANIEL B REITZELL PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist17714LA

General Provider Information

NPI Number : 1184624215
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL B REITZELL PHARMD
Provider Business Mailing Address
First Line : PO BOX 268
Second Line :
City : COLFAX
State : LA
Zip : 71417-0268
Country : US
Telephone Number : 318-627-5428
Fax Number : 318-627-4187
Provider Business Practice Location Address
First Line : 615 8TH ST
Second Line :
City : COLFAX
State : LA
Zip : 71417-1414
Country : US
Telephone Number : 318-627-5428
Fax Number : 318-627-4187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 12/17/2019

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Directions to “ DANIEL B REITZELL PHARMD” Practice Location

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