Provider Demographics
NPI:1720217318
Name:BELL, GABRIELLE REECE (PHARMD)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:REECE
Last Name:BELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 WIND MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:BARTOW
Mailing Address - State:FL
Mailing Address - Zip Code:33830-2936
Mailing Address - Country:US
Mailing Address - Phone:863-398-7767
Mailing Address - Fax:
Practice Address - Street 1:1906 WIND MEADOWS DR
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830-2936
Practice Address - Country:US
Practice Address - Phone:863-398-7767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-05
Last Update Date:2009-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43847183500000X
FLPU6510183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist