# RYAN HEALTH PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790370930
- **Authorized official:** MR. CHACKO JOSEPH PUTHENTHARAYIL (PRESIDENT)
- **Authorized official phone:** (248) 946-7725

## Contact information

- **Practice address:** 38800 RYAN RD STE 101, STERLING HEIGHTS, MI 48310-2993
- **Practice address phone:** (586) 983-9652
- **Practice address fax:** (586) 983-9654
- **Mailing address:** 38800 RYAN RD STE 101, STERLING HEIGHTS, MI 48310-2993
- **Mailing address phone:** (586) 983-9652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | NULL | Yes |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2021
- **Last updated:** 09/26/2024