Individual
RYAN BAGNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6701 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7459
(360) 992-5726
(360) 992-5728
Mailing address
6701 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7459
(360) 992-5726
(360) 992-5728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60883162
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0017067
OR
Other
Enumeration date
10/23/2018
Last updated
04/19/2019
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