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Individual
DR. RYAN PETERSON
Active
Individual
DR. RYAN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439840
OH
1835N1003X
Nutrition Support Pharmacist
03439840
OH
1835P1200X
Pharmacotherapy Pharmacist
03439840
OH
208U00000X
Clinical Pharmacology Physician
03439840
OH
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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