Provider Demographics
NPI:1467799155
Name:COTTINGHAM, REED CROSBY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:REED
Middle Name:CROSBY
Last Name:COTTINGHAM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3343 S ORANGE BLOSSOM TRL
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-6565
Mailing Address - Country:US
Mailing Address - Phone:407-932-2605
Mailing Address - Fax:407-933-7672
Practice Address - Street 1:3343 S ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-6565
Practice Address - Country:US
Practice Address - Phone:407-932-2605
Practice Address - Fax:407-933-7672
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35639183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist