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NPI Code Detail

MEDICARE: DR. CHRISTOPHER M REEVES PHARM.D.

MEDICARE: DR. CHRISTOPHER M REEVES 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
11835G0303XGeriatric PharmacistRPH63781CA
21835G0303XGeriatric PharmacistPS45121FL

General Provider Information

NPI Number : 1528334000
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER M REEVES PHARM.D.
Provider Business Mailing Address
First Line : 505 CITY PKWY W
Second Line :
City : ORANGE
State : CA
Zip : 92868-2924
Country : US
Telephone Number : 714-246-8474
Fax Number : 714-954-2297
Provider Business Practice Location Address
First Line : 505 CITY PKWY W
Second Line :
City : ORANGE
State : CA
Zip : 92868-2924
Country : US
Telephone Number : 714-246-8474
Fax Number : 714-954-2297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2012
Last Update Date : 04/27/2015

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