Organization Name: | REEVES DRUG STORE INC. |
NPI Number: | 1508836701 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FAGAN SNEED (PRESIDENT) |
Mailing Address: | 125 N 1st St Pulaski |
State: | TN US |
Postal Code: | 384783214 |
Phone Number: | 9313630137 |
Fax Number: | 9314248687 |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 01/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0000000741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |