Provider Demographics
NPI:1770205908
Name:REIHL, HELEN NOVITSKY (PHARMD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:NOVITSKY
Last Name:REIHL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:NOVITSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 EUSTON ST APT 6
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-4033
Mailing Address - Country:US
Mailing Address - Phone:804-402-4595
Mailing Address - Fax:
Practice Address - Street 1:71 SECOND AVE
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1107
Practice Address - Country:US
Practice Address - Phone:781-622-3894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH241050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist