Provider Demographics
NPI:1407592439
Name:REESE, ALYSSA BLAIR (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:ALYSSA
Middle Name:BLAIR
Last Name:REESE
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 BROAD NECK BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23249-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30420 REVELLS NECK RD
Practice Address - Street 2:
Practice Address - City:WESTOVER
Practice Address - State:MD
Practice Address - Zip Code:21890-0001
Practice Address - Country:US
Practice Address - Phone:108-454-0004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD288301835P2201X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care