Individual
DR. RYAN PHILLIP MOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2150 PENNSYLVANIA AVE NW FL 4, WASHINGTON, DC 20037-3201
(202) 741-2222
(202) 741-2185
Mailing address
2150 PENNSYLVANIA AVE NW STE G-201, WASHINGTON, DC 20037-3201
(202) 741-2218
(202) 741-3621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202212951
VA
183500000X
Pharmacist
22389
MD
183500000X
Pharmacist
Primary
PH100001742
DC
Other
Enumeration date
07/08/2014
Last updated
04/28/2022
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