Individual
MR. GEOFFREY W. REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
15418 MAIN ST, SUITE 106, MILL CREEK, WA 98012
(425) 225-8010
Mailing address
7217 55TH ST SE, SNOHOMISH, WA 98290-5183
(425) 397-9581
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00017863
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00017863
STATE PHARMACY LICENSE
WA
Enumeration date
02/09/2007
Last updated
07/08/2007
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