Individual
RYAN LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
6200 SE 14TH ST, DES MOINES, IA 50320-1707
(515) 210-0505
Mailing address
6200 SE 14TH ST, DES MOINES, IA 50320-1707
(515) 210-0505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22546
IA
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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