Organization
REYNOLDS PHARMACY INC
Active
Other names
REYNOLDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES REYNOLDS RPH (OWNER)
(301) 475-5557
Entity
Organization
Contact information
Practice address
22694 WASHINGTON ST, LEONARDTOWN, MD 20650
(301) 475-5557
(301) 475-6630
Mailing address
PO BOX 97, LEONARDTOWN, MD 20650
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01841
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2105977
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
781232900
—
MD
Enumeration date
08/18/2006
Last updated
03/28/2011
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