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Individual
RYAN JAMES MATTISON
Active
Individual
RYAN JAMES MATTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
70546
TX
1835P2201X
Ambulatory Care Pharmacist
70546
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
08/13/2026
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