Provider Demographics
NPI:1467776708
Name:REECE, VICTOR T (BH PHARM)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:T
Last Name:REECE
Suffix:
Gender:M
Credentials:BH PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:284 7TH AVE
Mailing Address - Street 2:APT 1F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3660
Mailing Address - Country:US
Mailing Address - Phone:212-562-6502
Mailing Address - Fax:212-562-6908
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:14TH FLOOR PHARMACY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-562-6502
Practice Address - Fax:212-562-6908
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY043097-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY043097-1OtherPHARMACY LICENSE NUMBER