Individual provider · Type 1 NPI

John Wallace Reavis

Pharmacist · Fargo, ND

NPI number 1750446845 Active

Practice location

1532 32nd Ave S
Fargo, ND 58103-5987

Fax (701) 280-1402

Mailing address

3319 18th St S
Fargo, ND 58104-6537

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X3411 (ND)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1750446845

John Wallace Reavis's National Provider Identifier is 1750446845, issued on Dec 27, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fargo, ND. The record was last updated on Jul 8, 2007.