Individual
FREDERICK ALLEN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
950 S CENTERVILLE RD, STURGIS, MI 49091-2089
(269) 651-9519
(269) 651-9548
Mailing address
711 DEVONSHIRE DR, STURGIS, MI 49091-9009
(269) 651-8674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302020198
MI
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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