John Wallace Reavis
John Wallace Reavis is a Pharmacist in Fargo, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.
- Licensed in
- ND
- In the registry since
- 2006
Practice location Address checks out
1532 32nd Ave SFargo, ND 58103-5987
Phone: (701) 280-1928
Fax: (701) 280-1402
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 3411 (ND) |
|---|
Record details
| NPI number | 1750446845 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 27, 2006 |
| Last updated in NPPES | July 8, 2007 |
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