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NPI Code Detail

MEDICARE: KIM M REIFF RPH

MEDICARE: KIM M REIFF RPH
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
1183500000XPharmacist114820MN

General Provider Information

NPI Number : 1346527413
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM M REIFF RPH
Provider Business Mailing Address
First Line : 11401 MARKETPLACE DR N
Second Line :
City : CHAMPLIN
State : MN
Zip : 55316-3794
Country : US
Telephone Number : 763-427-6389
Fax Number : 763-427-2520
Provider Business Practice Location Address
First Line : 11401 MARKETPLACE DR N
Second Line :
City : CHAMPLIN
State : MN
Zip : 55316-3794
Country : US
Telephone Number : 763-427-6389
Fax Number : 763-427-2520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2011
Last Update Date : 11/03/2011

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Directions to “ KIM M REIFF RPH” Practice Location

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