Provider Demographics
NPI:1932090040
Name:REINBOLT, CHASE CHRISTINE RUTH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHASE
Middle Name:CHRISTINE RUTH
Last Name:REINBOLT
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 1:959 PRUDENTIAL DR APT 8025
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-8595
Mailing Address - Country:US
Mailing Address - Phone:504-491-9068
Mailing Address - Fax:
Practice Address - Street 1:959 PRUDENTIAL DR APT 8025
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8595
Practice Address - Country:US
Practice Address - Phone:504-491-9068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS69074183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist