Provider Demographics
NPI:1417736497
Name:REECE, AUSTIN PAUL (PHARMD, MHSA)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:PAUL
Last Name:REECE
Suffix:
Gender:M
Credentials:PHARMD, MHSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 E 36TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-3006
Mailing Address - Country:US
Mailing Address - Phone:440-855-2343
Mailing Address - Fax:
Practice Address - Street 1:3727 PEACH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2620
Practice Address - Country:US
Practice Address - Phone:814-864-0292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4580473336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy