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Individual

DR. RYAN DANIEL TABIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
650 E INDIAN SCHOOL RD # 119A, PHOENIX, AZ 85012-1839
(480) 277-5551
Mailing address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-6054

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
20637
NC

Other

Enumeration date
10/11/2007
Last updated
12/13/2010
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