Provider Demographics
NPI:1831834738
Name:REICH, HAROLD KEITH (PHARM D)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:KEITH
Last Name:REICH
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-3901
Mailing Address - Country:US
Mailing Address - Phone:209-835-1832
Mailing Address - Fax:209-835-0704
Practice Address - Street 1:39 W 10TH ST
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-3901
Practice Address - Country:US
Practice Address - Phone:209-835-1832
Practice Address - Fax:209-835-0704
Is Sole Proprietor?:No
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH31928183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist