Provider Demographics
NPI:1790013985
Name:REYNOLDS, JAMES FRANK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANK
Last Name:REYNOLDS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:J. FRANK
Other - Middle Name:
Other - Last Name:REYNOLDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7965 NATURE TRL
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-2133
Mailing Address - Country:US
Mailing Address - Phone:706-563-6844
Mailing Address - Fax:
Practice Address - Street 1:3021 SANDY PKWY BLDG 2 STE AB
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909
Practice Address - Country:US
Practice Address - Phone:800-511-5144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-26
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA022755183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist