Provider Demographics
NPI:1427051978
Name:REESER'S PHARMACY INC.
Entity type:Organization
Organization Name:REESER'S PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:MCCLELLAN
Authorized Official - Last Name:REESER
Authorized Official - Suffix:III
Authorized Official - Credentials:PD
Authorized Official - Phone:410-745-2207
Mailing Address - Street 1:1013 S TALBOT ST
Mailing Address - Street 2:# F
Mailing Address - City:SAINT MICHAELS
Mailing Address - State:MD
Mailing Address - Zip Code:21663-2637
Mailing Address - Country:US
Mailing Address - Phone:410-745-2207
Mailing Address - Fax:410-745-2404
Practice Address - Street 1:1013 S TALBOT ST
Practice Address - Street 2:# F
Practice Address - City:SAINT MICHAELS
Practice Address - State:MD
Practice Address - Zip Code:21663-2637
Practice Address - Country:US
Practice Address - Phone:410-745-2207
Practice Address - Fax:410-745-2404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP01690333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2118215OtherNCPDP