Provider Demographics
NPI:1154140374
Name:REINHART, CALEB LUKE (PHARMD)
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:LUKE
Last Name:REINHART
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 1:4913 HIGHWAY 351
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72405-6937
Mailing Address - Country:US
Mailing Address - Phone:870-243-3266
Mailing Address - Fax:
Practice Address - Street 1:765 E MATTHEWS AVE
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-3103
Practice Address - Country:US
Practice Address - Phone:870-558-5488
Practice Address - Fax:870-558-5489
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD16618183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist