Healthcare Provider Details
I. General information
NPI: 1609100726
Provider Name (Legal Business Name): REEF FAMILY PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2009
Last Update Date: 03/11/2022
Certification Date: 03/11/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1037 ROUTE 9 SOUTH
CAPE MAY COURT HOUSE NJ
08210
US
IV. Provider business mailing address
1037 ROUTE 9 SOUTH
CAPE MAY COURT HOUSE NJ
08210
US
V. Phone/Fax
- Phone: 609-465-0004
- Fax: 609-465-0045
- Phone: 609-465-0004
- Fax: 609-465-0045
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | 28RS00696800 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
SCOTT
REEF
Title or Position: OWNER/PHARMACIST
Credential: RPH
Phone: 609-465-0004