Provider Demographics
NPI:1255678116
Name:REEVES, LAURA ASHLEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ASHLEY
Last Name:REEVES
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 1:5127 US HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-3966
Mailing Address - Country:US
Mailing Address - Phone:727-845-3123
Mailing Address - Fax:727-845-5920
Practice Address - Street 1:5127 US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-3966
Practice Address - Country:US
Practice Address - Phone:727-845-3123
Practice Address - Fax:727-845-5920
Is Sole Proprietor?:No
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS47820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist