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Individual

MR. TONY RAY REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
1704 WEST STOCKTON STREET., EDMONTON, EDMONTON, KY 42129-8137
(270) 432-3111
(270) 432-4111
Mailing address
1704 W STOCKTON ST, EDMONTON, EDMONTON, KY 42129-8137
(270) 432-3111
(270) 432-4111

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8654
KY

Other

Enumeration date
03/08/2012
Last updated
03/08/2012
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