Individual provider · Type 1 NPI

Gary Raynolds, RPH, B.S. PHARM

Pharmacist · Springfield, IL

NPI number 1730565003 Active

Practice location

2115 S Macarthur Blvd
Springfield, IL 62704-4501

Mailing address

5197 N Carpenter Rd
Buffalo, IL 62515-7093

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051034225 (IL)
Pharmacist 183500000X008653 (KY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1730565003

Gary Raynolds, RPH, B.S. PHARM's National Provider Identifier is 1730565003, issued on Aug 10, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Springfield, IL. The record was last updated on Aug 10, 2015.