Individual
DR. RYAN DEAN TEAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
1610 W COOK RD, FORT WAYNE, IN 46825-3219
(260) 483-3730
(260) 489-9782
Mailing address
1610 W COOK RD, FORT WAYNE, IN 46825-3219
(260) 483-3730
(260) 489-9782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023597A
IN
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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