Individual
ANITA LYNNETTE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
116 S WILSON, VINITA, OK 74301
(918) 256-6459
(918) 256-2029
Mailing address
438428 E 290 RD, VINITA, OK 74301
(918) 256-8069
(918) 256-2029
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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