Provider Demographics
NPI:1043459803
Name:KAGIHARA, REID B (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:REID
Middle Name:B
Last Name:KAGIHARA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 US HIGHWAY 41 BYP N
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-6031
Mailing Address - Country:US
Mailing Address - Phone:941-484-8814
Mailing Address - Fax:941-488-2612
Practice Address - Street 1:100 US HIGHWAY 41 BYP N
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-6031
Practice Address - Country:US
Practice Address - Phone:941-484-8814
Practice Address - Fax:941-488-2612
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39190183500000X
MI5302029947183500000X
HIPH2491183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist