Provider Demographics
NPI:1528223799
Name:REEVES, CLAY (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:CLAY
Middle Name:
Last Name:REEVES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 PRESIDENT CLINTON AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-1730
Mailing Address - Country:US
Mailing Address - Phone:501-374-6609
Mailing Address - Fax:
Practice Address - Street 1:500 PRESIDENT CLINTON AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-1730
Practice Address - Country:US
Practice Address - Phone:501-374-6609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-27
Last Update Date:2008-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD09327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist