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Individual

DR. ADAM JOHN REYNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
327 W 4TH ST, OTTUMWA, IA 52501-2517
(641) 226-5077
Mailing address
202 S WARD ST APT 7, OTTUMWA, IA 52501-4744
(414) 704-5856

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
16059
WI
183500000X
Pharmacist
Primary
21598
IA

Other

Enumeration date
12/07/2011
Last updated
12/07/2011
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