Provider Demographics
NPI:1417238890
Name:REED, JAMES JOHN JR
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JOHN
Last Name:REED
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5836 TOVA CIR
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-8460
Mailing Address - Country:US
Mailing Address - Phone:267-626-9592
Mailing Address - Fax:
Practice Address - Street 1:1452 BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-2004
Practice Address - Country:US
Practice Address - Phone:215-836-0128
Practice Address - Fax:215-836-0927
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439696183500000X
AZS011184183500000X
IL051-290572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist