Individual
KATRINA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 FORT CAMPBELL BLVD, CLARKSVILLE, TN 37042-3537
(931) 552-0348
Mailing address
12300 CANNONBALL RD, FAIRFAX, VA 22030-6530
(256) 783-9542
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14829
AL
183500000X
Pharmacist
Primary
33562
TN
183500000X
Pharmacist
43736
TX
183500000X
Pharmacist
RPH022500
GA
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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