Provider Demographics
NPI:1326418369
Name:FRENCH, REYNOLD ELLISR (RPH)
Entity Type:Individual
Prefix:MR
First Name:REYNOLD
Middle Name:ELLISR
Last Name:FRENCH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 MOUNTAIN VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-4317
Mailing Address - Country:US
Mailing Address - Phone:208-316-5669
Mailing Address - Fax:208-733-2810
Practice Address - Street 1:2013 MOUNTAIN VIEW CIR
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-4317
Practice Address - Country:US
Practice Address - Phone:208-316-5669
Practice Address - Fax:208-733-2810
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-02
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP4072183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist