Individual
CHRISTOPHER RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 PORTER DR, WILBRAHAM, MA 01095-1545
(413) 896-0811
Mailing address
15 PORTER DR, WILBRAHAM, MA 01095-1545
(413) 896-0811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10523
CT
183500000X
Pharmacist
22331
MA
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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