MEDICARE: JEFFREY LOUIS REINDL

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	03-2-18050	OH

General Provider Information

NPI Number	:	1972915163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY LOUIS REINDL

Provider Business Mailing Address
First Line	:	2319 LONDON-GROVEPORT RD.
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-9035
Country	:	US
Telephone Number	:	614-801-4333
Fax Number	:	614-801-4365

Provider Business Practice Location Address
First Line	:	2319 LONDON-GROVEPORT RD.
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-9035
Country	:	US
Telephone Number	:	614-801-4333
Fax Number	:	614-801-4365

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

Provider Enumeration Date	:	05/22/2014
Last Update Date	:	05/22/2014

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