Individual
REBECCA REEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
53 PARK ST, NEW HAVEN, CT 06511-5474
(203) 777-7809
Mailing address
53 PARK STREET, NEW HAVEN, CT 06511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10338
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10338
STATE LICENSE NUMBER
CT
Enumeration date
01/06/2012
Last updated
01/06/2012
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