MEDICARE: DR. STEVEN ERIC CARL REICH PHARM. D.

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	4985026-1701	UT

General Provider Information

NPI Number	:	1184930547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN ERIC CARL REICH PHARM. D.

Provider Business Mailing Address
First Line	:	2266 E 3300 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-2635
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2266 E 3300 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-2635
Country	:	US
Telephone Number	:	801-485-4852
Fax Number	:

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

Provider Enumeration Date	:	08/24/2010
Last Update Date	:	04/05/2011

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