Individual
MR. FOREST RAY FORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
34 RESERVATION RD, RENO, NV 89502-1521
(775) 329-5162
(775) 789-5612
Mailing address
PO BOX 21371, RENO, NV 89515-1371
(616) 757-9662
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
009920
SC
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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