Individual
MR. GARY L. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1055 E MAIN ST, PULASKI, VA 24301-5217
(540) 994-9390
Mailing address
1055 E MAIN ST, PULASKI, VA 24301-5217
(540) 994-9390
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009306
VA
183500000X
Pharmacist
026724-1
NY
183500000X
Pharmacist
PH.13239
SC
183500000X
Pharmacist
RP0007433
WV
Other
Enumeration date
05/01/2011
Last updated
05/01/2011
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