Organization
REYNOLDS DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIAN A. REYNOLDS JR. PHARMACIST (PRES.)
(843) 264-5454
Entity
Organization
Contact information
Practice address
7 S MORGAN AVE, ANDREWS, SC 29510-2645
(843) 264-5454
(843) 264-8362
Mailing address
7 S MORGAN AVE, ANDREWS, SC 29510-2645
(843) 264-5454
(843) 264-8362
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50-000630
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4202292
NACPDP NUMBER
—
05
—
706307
—
SC
05
—
DE1728
—
SC
Enumeration date
03/28/2007
Last updated
07/01/2008
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