Provider Demographics
NPI:1063408508
Name:REYNOLDS' CO INC
Entity type:Organization
Organization Name:REYNOLDS' CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:I
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:913-367-4113
Mailing Address - Street 1:701 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-2434
Mailing Address - Country:US
Mailing Address - Phone:913-367-4113
Mailing Address - Fax:913-367-0636
Practice Address - Street 1:701 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-2434
Practice Address - Country:US
Practice Address - Phone:913-367-4113
Practice Address - Fax:913-367-0636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS08947183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0160260001Medicare ID - Type UnspecifiedMEDICARE