Provider Demographics
NPI:1457324337
Name:REYNOLDS, MARCI JEANINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARCI
Middle Name:JEANINE
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 CRESWELL RD
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-7605
Mailing Address - Country:US
Mailing Address - Phone:206-714-9255
Mailing Address - Fax:425-990-2444
Practice Address - Street 1:926 164TH ST SE
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-6305
Practice Address - Country:US
Practice Address - Phone:425-743-4806
Practice Address - Fax:425-742-9305
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00056072183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist