John Wallace Reavis in Fargo - Pharmacist
John Wallace Reavis - NPI 1750446845
John Wallace Reavis is a Pharmacist in Fargo, North Dakota. John Wallace Reavis practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for John Wallace Reavis is 1750446845. The last update date is 2007-07-08.
John Wallace Reavis's current location address is 1532 32nd Ave S, Fargo, North Dakota. You can contact this provider via phone number 7012801928 and fax number 7012801402. The mailing address for John Wallace Reavis is 1532 32nd Ave S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Wallace Reavis |
|---|---|
| Address | 1532 32nd Ave S, Fargo, North Dakota |
| Phone Number | 7012801928 |
| Fax Number | 7012801402 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1750446845 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1532 32nd Ave S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581035987 |
| Phone Number | 7012801928 |
| Fax Number | 7012801402 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 3411 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John Wallace Reavis by the Centers for Medicare & Medicaid Services?
The John Wallace Reavis has been assigned the NPI (National Provider Identifier) 1750446845 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John Wallace Reavis is physically located?
The John Wallace Reavis is physically situated at the following address: 1532 32Nd Ave S, Fargo, ND, 581035987.
What is John Wallace Reavis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Wallace Reavis is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.
When was the John Wallace Reavis's 1750446845 issued?
The John Wallace Reavis's 1750446845 was issued on 2006-12-27.
As of what date was the information pertaining to John Wallace Reavis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Wallace Reavis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.