Organization
JOHN RENO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RENO RPH (PHARMACISTOWNER)
(620) 357-8305
Entity
Organization
Contact information
Practice address
519 MAIN ST, BOX 68, JETMORE, KS 67854-0068
(620) 357-8305
(620) 357-8305
Mailing address
519 MAIN ST, BOX 68, JETMORE, KS 67854-0068
(620) 357-8305
(620) 357-8305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6360
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100438040A
—
KS
Enumeration date
05/11/2007
Last updated
07/15/2011
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