Basic Information
| Provider Information | |||||||||
| NPI: | 1598173551 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REED | ||||||||
| FirstName: | CHELSEA | ||||||||
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| Credential: | PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3287 HOWARD AVE | ||||||||
| Address2: | |||||||||
| City: | STEVENS POINT | ||||||||
| State: | WI | ||||||||
| PostalCode: | 544815654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7156132728 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1105 E GRAND AVE | ||||||||
| Address2: | |||||||||
| City: | ROTHSCHILD | ||||||||
| State: | WI | ||||||||
| PostalCode: | 544741024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8008728662 | ||||||||
| FaxNumber: | 6083721106 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/22/2014 | ||||||||
| LastUpdateDate: | 05/17/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P1200X | 6067 | SD | N | Pharmacy Service Providers | Pharmacist | Pharmacotherapy | 1835P0018X | 6067 | SD | Y | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
No ID Information.