Individual
DR. RYAN CHARLES ZIMMERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1118 NW 16TH ST, SUITE D., FRUITLAND, ID 83619-2271
(208) 452-8698
Mailing address
778 S TIBURON AVE, MERIDIAN, ID 83642-3590
(208) 884-4871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5451
ID
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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