Individual
HEIDI REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14442 124TH AVE NE, KIRKLAND, WA 98034
(425) 821-7899
Mailing address
14442 124TH AVE NE, KIRKLAND, WA 98034
(425) 821-7899
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60790405
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IR60790405
PQAC
WA
Enumeration date
11/27/2018
Last updated
11/27/2018
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