Provider Demographics
NPI:1083907257
Name:REECE, JOHN C (RPH)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:REECE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 E GUADALUPE RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-8800
Mailing Address - Country:US
Mailing Address - Phone:480-892-8510
Mailing Address - Fax:480-503-2105
Practice Address - Street 1:1585 E GUADALUPE RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-8800
Practice Address - Country:US
Practice Address - Phone:480-892-8510
Practice Address - Fax:480-503-2105
Is Sole Proprietor?:No
Enumeration Date:2011-05-22
Last Update Date:2011-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS10838183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist