# REEVA LTC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477423671
- **Authorized official:** DR. BLAKE WELCH BENTLEY PHARM D (PHARMACIST IN CHARGE)
- **Authorized official phone:** (385) 452-9266

## Contact information

- **Practice address:** 4133 W PIONEER PKWY STE 130, WEST VALLEY CITY, UT 84120-2059
- **Practice address phone:** (385) 557-6747
- **Mailing address:** 4133 W PIONEER PKWY STE 130, WEST VALLEY CITY, UT 84120-2059
- **Mailing address phone:** (385) 452-9266
- **Mailing address fax:** (385) 386-0703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/11/2025
- **Last updated:** 02/20/2026