Individual
CORINA A REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., CGP
Contact information
Practice address
509 S MIDDLETON RD STE 105, MIDDLETON, ID 83644-6047
(208) 880-0011
Mailing address
PO BOX 963, MIDDLETON, ID 83644-0963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10547
OR
183500000X
Pharmacist
Primary
P5844
ID
Other
Enumeration date
01/09/2008
Last updated
07/18/2012
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