Healthcare Provider Details

I. General information

NPI: 1487548855
Provider Name (Legal Business Name): HANNAH REYNOLDS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5777 E MAYO BLVD
PHOENIX AZ
85054-4502
US

IV. Provider business mailing address

14000 N 94TH ST UNIT 3196
SCOTTSDALE AZ
85260-7784
US

V. Phone/Fax

Practice location:
  • Phone: 480-342-2000
  • Fax:
Mailing address:
  • Phone: 941-447-5173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS027114
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: