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NPI Code Detail

MEDICARE: MR. KEVIN B. REED R.PH.

MEDICARE:  MR. KEVIN B. REED  R.PH.
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
1183500000XPharmacistRP-039894-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RP-039894-LOTHERPAPHARMACIST LICENSE

General Provider Information

NPI Number : 1063462455
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN B. REED R.PH.
Provider Business Mailing Address
First Line : 2489 ROUTE 6
Second Line :
City : HAWLEY
State : PA
Zip : 18428-6078
Country : US
Telephone Number : 570-390-7655
Fax Number : 570-390-7657
Provider Business Practice Location Address
First Line : 2489 ROUTE 6
Second Line :
City : HAWLEY
State : PA
Zip : 18428-6078
Country : US
Telephone Number : 570-390-7655
Fax Number : 570-390-7657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 05/25/2016

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Directions to “ MR. KEVIN B. REED R.PH.” Practice Location

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