Individual
MR. VINCENT GERARD REILLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
304 W. HIGHWAY 38, SUITE 102, HARTFORD, SD 57033-0397
(605) 528-2000
(605) 528-2003
Mailing address
PO BOX 397, HARTFORD, SD 57033-0397
(605) 528-2000
(605) 528-2003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4455
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4455
PHARMACIST LICENSE
SD
Enumeration date
05/23/2006
Last updated
07/08/2007
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