Individual
GARY WILLIAM REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
840 COTTMAN AVE, PHILADELPHIA, PA 19111-3017
(215) 342-8740
(215) 342-4607
Mailing address
840 COTTMAN AVE, PHILADELPHIA, PA 19111-3017
(215) 342-8740
(215) 342-4607
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP029143L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP029143L
PA STATE LICENSE NUMBER
PA
Enumeration date
02/18/2008
Last updated
02/18/2008
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