MEDICARE: DR. LAURA A REICHL PHARMD

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RP448777	PA

General Provider Information

NPI Number	:	1689262917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA A REICHL PHARMD

Provider Business Mailing Address
First Line	:	96 PARRY DR
Second Line	:
City	:	HAINESPORT
State	:	NJ
Zip	:	08036-4890
Country	:	US
Telephone Number	:	484-788-4033
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 CREEK PKWY
Second Line	:
City	:	UPPER CHICHESTER
State	:	PA
Zip	:	19061-3132
Country	:	US
Telephone Number	:	800-223-4376
Fax Number	:

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

Provider Enumeration Date	:	01/04/2021
Last Update Date	:	01/15/2022

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