Provider Demographics
NPI:1649522889
Name:REED FAMILY PHARMACY, LLC
Entity type:Organization
Organization Name:REED FAMILY PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:606-330-0302
Mailing Address - Street 1:272 LONDON MOUNTAIN VIEW DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-6601
Mailing Address - Country:US
Mailing Address - Phone:606-330-0302
Mailing Address - Fax:606-330-0375
Practice Address - Street 1:272 LONDON MOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 2
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-6601
Practice Address - Country:US
Practice Address - Phone:606-330-0302
Practice Address - Fax:606-330-0375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY011311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty