Provider Demographics
NPI:1124480603
Name:REED, ERIK (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:REED
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:CT
Mailing Address - Zip Code:06234-3413
Mailing Address - Country:US
Mailing Address - Phone:860-779-0523
Mailing Address - Fax:860-779-0322
Practice Address - Street 1:542 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:CT
Practice Address - Zip Code:06234-3413
Practice Address - Country:US
Practice Address - Phone:860-779-0523
Practice Address - Fax:860-779-0322
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT13086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist