Individual
RYAN S THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 S 1ST ST UNIT 1, HERMISTON, OR 97838-2386
(541) 567-6850
Mailing address
200 S 1ST ST UNIT 1, HERMISTON, OR 97838-2386
(541) 567-6850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0012723
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH0012723
STATE PHARMACIST LICENSE
OR
Enumeration date
02/29/2012
Last updated
02/29/2012
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