Organization
RYAN PHARMACY
Active
Other names
Ryan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RULA YACOUB (PHARMACIST)
(586) 755-0040
Entity
Organization
Contact information
Practice address
23421 RYAN RD, WARREN, MI 48091-1927
(586) 755-0040
(586) 755-0044
Mailing address
23421 RYAN RD, WARREN, MI 48091-1927
(586) 755-0040
(586) 755-0044
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009555
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2375409
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/19/2011
Last updated
07/21/2015
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