MEDICARE: GISELLE REED

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
1	183500000X	Pharmacist	19010	AL

General Provider Information

NPI Number	:	1194195339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GISELLE REED

Provider Business Mailing Address
First Line	:	3040 HEALTHY WAY
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35243-2331
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3040 HEALTHY WAY
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-2331
Country	:	US
Telephone Number	:	205-970-7505
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2015
Last Update Date	:	10/07/2020

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Directions to “ GISELLE REED ” Practice Location

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