Provider Demographics
NPI:1508852518
Name:REEVE, WILLIAM ROBERT (PHARM D BCPP)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROBERT
Last Name:REEVE
Suffix:
Gender:M
Credentials:PHARM D BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5231 SENFORD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90056-1024
Mailing Address - Country:US
Mailing Address - Phone:310-670-5735
Mailing Address - Fax:310-670-5735
Practice Address - Street 1:5231 SENFORD AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90056-1024
Practice Address - Country:US
Practice Address - Phone:310-670-5735
Practice Address - Fax:310-670-5735
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 37957183500000X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1300XPharmacy Service ProvidersPharmacistPsychiatric