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General NPI Number Information
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NPI Number | 1831203819
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Entity Type | Organization
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Legal Business Name | REYNOLDS PHARMACY INC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 03/28/2011
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Provider Practice Location Address
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Address Line | 22694 WASHINGTON ST
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City | LEONARDTOWN
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State | MD
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Zip | 20650
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Country | US
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Telephone | 301-475-5557
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Fax | 301-475-6630
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Provider Business Mailing Address
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Address Line | PO BOX 97
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City | LEONARDTOWN
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State | MD
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Zip | 20650
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES REYNOLDS
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Credential | RPH
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Telephone | 301-475-5557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P01841
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License Number State | MD
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