Provider Demographics
NPI:1265214399
Name:REED, HALLIE NICOLE FROMM
Entity type:Individual
Prefix:
First Name:HALLIE
Middle Name:NICOLE FROMM
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HALLIE
Other - Middle Name:
Other - Last Name:FROMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3186 STEWARTSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:STEWARTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17363-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14635 MOUNT AIRY RD
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361-1433
Practice Address - Country:US
Practice Address - Phone:717-227-2017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-13
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP458089183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist