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Individual

DR. RYAN JOSEPH FENNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
142 JAMESON WAY, SEVEN FIELDS, PA 16046-4324
(724) 822-5359
Mailing address
142 JAMESON WAY, SEVEN FIELDS, PA 16046-4324

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
11740
SC
1835G0303X
Geriatric Pharmacist
Primary
442320
PA
1835G0303X
Geriatric Pharmacist
RPH.03329014-3
OH

Other

Enumeration date
01/30/2012
Last updated
01/30/2012
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