Provider Demographics
NPI:1376005421
Name:REYNOLDS, ELIZABETH LEANE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LEANE
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:LEANE
Other - Last Name:LAMBERTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2900 E UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-7728
Mailing Address - Country:US
Mailing Address - Phone:334-502-2801
Mailing Address - Fax:
Practice Address - Street 1:2900 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-7728
Practice Address - Country:US
Practice Address - Phone:334-502-2801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH030595183500000X
AL20371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL20371OtherBOARD OF PHARMACY
GARPH030595OtherBOARD OF PHARMACY