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NPI Code Detail

MEDICARE: MARK EVANS REED RPH

MEDICARE:   MARK EVANS REED  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
1183500000XPharmacist03-3-08947OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103-3-08947OTHEROHSTATE LICENSE NUMBER

General Provider Information

NPI Number : 1427184498
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK EVANS REED RPH
Provider Business Mailing Address
First Line : 4082 LASER RD
Second Line :
City : SHELBY
State : OH
Zip : 44875-9317
Country : US
Telephone Number : 419-347-6862
Fax Number :
Provider Business Practice Location Address
First Line : 140 MANSFIELD AVE
Second Line :
City : SHELBY
State : OH
Zip : 44875-1833
Country : US
Telephone Number : 419-347-2033
Fax Number : 419-347-2053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/08/2007

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