Provider Demographics
NPI:1033527437
Name:FRANZ-REICHERT, LISA A (RPH)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:A
Last Name:FRANZ-REICHERT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 W PERSHING AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:WY
Mailing Address - Zip Code:82501-2411
Mailing Address - Country:US
Mailing Address - Phone:307-856-2261
Mailing Address - Fax:307-856-2601
Practice Address - Street 1:1960 N FEDERAL BLVD
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:WY
Practice Address - Zip Code:82501-5204
Practice Address - Country:US
Practice Address - Phone:307-856-2261
Practice Address - Fax:307-856-2601
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2621183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist