Organization
FT REYNOLDS
Active
Organization
FT REYNOLDS
Active
Other names
REYNOLDS PHARMACY LLC, F & G PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DOUGLAS WALLEY (VICE PRESIDENT)
(406) 852-0406
Entity
Organization
Contact information
Practice address
1014 W BELL ST, GLENDIVE, MT 59330-1502
(406) 377-4920
Mailing address
1014 W BELL ST, GLENDIVE, MT 59330-1502
(406) 377-4920
(406) 377-4921
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1285
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2701084
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/23/2006
Last updated
07/26/2019
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