Provider Demographics
NPI:1932401296
Name:REED, SPENCER M (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SPENCER
Middle Name:M
Last Name:REED
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 1:308 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:HEBER SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72543-3719
Mailing Address - Country:US
Mailing Address - Phone:501-362-6514
Mailing Address - Fax:501-362-8020
Practice Address - Street 1:308 S 7TH ST
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543-3719
Practice Address - Country:US
Practice Address - Phone:501-362-6514
Practice Address - Fax:501-362-8020
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD08905183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist