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Individual

DR. CHAD MARION REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1220 N RACE ST, GLASGOW, KY 42141-3462
(270) 651-7627
(270) 651-9261
Mailing address
202 WINDSOR AVE, GLASGOW, KY 42141-2256
(270) 651-7627
(270) 651-9261

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011224
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54025770
KY
Enumeration date
03/29/2007
Last updated
07/08/2007
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