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Individual

DR. ADAM RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
7227 S STATE ST, MIDVALE, UT 84047-2061
(801) 307-0494
Mailing address
7227 S STATE ST, MIDVALE, UT 84047-2061
(801) 307-0494

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6441786-1701
UT

Other

Enumeration date
09/12/2011
Last updated
09/12/2011
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