Individual
CHRIS EDWARD REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
20276 HALFWAY RD, BEND, OR 97701-9018
(541) 350-0075
Mailing address
20276 HALFWAY RD, BEND, OR 97701-9018
(541) 350-0075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS 48618
FL
183500000X
Pharmacist
Primary
RPH-0006321
OR
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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