Individual
MICHAEL RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1141 N BROADWAY, COUNCIL BLUFFS, IA 51503-1513
(712) 322-9019
(712) 325-9731
Mailing address
1141 N BROADWAY, COUNCIL BLUFFS, IA 51503-1513
(712) 322-9019
(712) 325-9731
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18333
IA
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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