Provider Demographics
NPI:1538351689
Name:REINHOLD, JENNIFER ALYSON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ALYSON
Last Name:REINHOLD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S. 43RD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-9635
Mailing Address - Country:US
Mailing Address - Phone:215-596-8800
Mailing Address - Fax:
Practice Address - Street 1:147 HEFFNER RD
Practice Address - Street 2:
Practice Address - City:WERNERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19565-9635
Practice Address - Country:US
Practice Address - Phone:610-334-0393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4418991835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy