Provider Demographics
NPI:1528254307
Name:REITZEL, ROBERT ERIC (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ERIC
Last Name:REITZEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 WHITE PINE DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2206
Mailing Address - Country:US
Mailing Address - Phone:775-287-9104
Mailing Address - Fax:
Practice Address - Street 1:301 WHITE PINE DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2206
Practice Address - Country:US
Practice Address - Phone:775-287-9104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19157183500000X
CO14430183500000X
NV15079183500000X
CA53968183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist