Individual
BRIAN REISIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
700 LOWER STATERD, APT 22 C, NORTH WALES, PA 19454
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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