Individual
RYAN MATTHEW GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2021 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5805
(573) 708-6981
Mailing address
2021 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2024032931
MO
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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