Reis, Larry Robert

Reis, Larry Robert is an sole proprietor health care provider with primary practice located at 551 Wrangler St , Oakdale CA 95361-8252. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Reis, Larry Robert can be contacted via phone (559) 301-2020.

Contact Information

Primary practice address
551 Wrangler St Oakdale CA 95361-8252
Phone: (559) 301-2020
Fax: (559) 272-2124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 27114 California
Pharmacy Service Providers / Pharmacist 183500000X 27114 California

Profile Details

NPI number 1881161610
LBN Legal business name Reis, Larry Robert
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2018
Last updated Oct 30th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881161610 NPPES
California Other 27114 PHARMACY LICENSE

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