MEDICARE: LINDA REYNOLDS PHARMACY TECHNICIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	0230008060	VA

General Provider Information

NPI Number	:	1891800900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA REYNOLDS PHARMACY TECHNICIAN

Provider Business Mailing Address
First Line	:	317 MARKET ST.
Second Line	:
City	:	NEW CASTLE
State	:	VA
Zip	:	24127
Country	:	US
Telephone Number	:	540-864-8800
Fax Number	:	540-864-8803

Provider Business Practice Location Address
First Line	:	317 MARKET ST.
Second Line	:
City	:	NEW CASTLE
State	:	VA
Zip	:	24127
Country	:	US
Telephone Number	:	540-864-8800
Fax Number	:	540-864-8803

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	07/08/2007

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