Provider Demographics
NPI:1730381815
Name:REIF, THOMAS R (RPH)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:R
Last Name:REIF
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 1:101 GLASTENVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SHAFTSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05262-9435
Mailing Address - Country:US
Mailing Address - Phone:802-442-6626
Mailing Address - Fax:
Practice Address - Street 1:64 EQUINOX TERRACE
Practice Address - Street 2:
Practice Address - City:MANCHESTER CENTER
Practice Address - State:VT
Practice Address - Zip Code:05255-9252
Practice Address - Country:US
Practice Address - Phone:802-362-2433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033-0002305183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist