Individual
MR. GARTH KYLE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
204 W COOK ST, SPRINGFIELD, IL 62704-2526
(217) 522-7300
(217) 522-7349
Mailing address
1837 S WALNUT ST, SPRINGFIELD, IL 62704-4047
(217) 522-7300
(217) 522-7349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2002028993
MO
183500000X
Pharmacist
Primary
51288648
IL
Other
Enumeration date
10/13/2005
Last updated
02/06/2013
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