Organization
RYAN RABON, INC.
Active
Other names
The Medicine Shoppe #1427
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL O'NEAL MARTIN RPH (OWNER PHARMACIST)
(770) 445-6422
Entity
Organization
Contact information
Practice address
760 PAULDING PLZ, DALLAS, GA 30132-5028
(770) 445-6422
(770) 443-0180
Mailing address
760 PAULDING PLZ, DALLAS, GA 30132-5028
(770) 445-6422
(770) 443-0180
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
007978
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1142532
NABP NUMBER
GA
Enumeration date
12/22/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us