Individual
RYAN M DARTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., MBA
Contact information
Practice address
509 JEFFERSON ST, LAFAYETTE, LA 70501-6905
(337) 235-4578
(337) 235-4570
Mailing address
332 MILL POND DR, YOUNGSVILLE, LA 70592-5655
(337) 278-3007
(337) 235-4570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15874
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15874
PHARMACIST LICENSE
LA
05
—
1895997
—
LA
Enumeration date
02/12/2007
Last updated
12/19/2023
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