Garth Kyle Reynolds, RPh
Pharmacist in Springfield, IL. Individual provider (NPI-1).
NPI number1902895873
StatusActive
Last updated in NPPESFeb 6, 2013
Details
- NPI
- 1902895873
- Entity type
- Individual (NPI-1)
- Name
- Mr. Garth Kyle Reynolds
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2005
- Last updated
- Feb 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 51288648 | IL | Yes |
| 183500000X | Pharmacist | 2002028993 | MO |
Practice location
204 W Cook StSpringfield, IL 62704-2526
Phone 217-522-7300 · Fax 217-522-7349
Mailing address
1837 S Walnut StSpringfield, IL 62704-4047
Phone 217-522-7300 · Fax 217-522-7349
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