Provider Demographics
NPI:1003209131
Name:REIFINGER, ELAINE C (PHARMD)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:C
Last Name:REIFINGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 KNOX AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-4056
Mailing Address - Country:US
Mailing Address - Phone:803-279-1919
Mailing Address - Fax:
Practice Address - Street 1:1201 KNOX AVE
Practice Address - Street 2:
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29841-4056
Practice Address - Country:US
Practice Address - Phone:803-279-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPH8445183500000X
GARPH018029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist