| NPI | 1053669333 |
|---|---|
| Former Name | ALICE E REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 11181) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 9238) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |