Individual
RAE ANN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
1028 HIGHWAY 98 BYP, COLUMBIA, MS 39429-9190
(601) 736-0368
Mailing address
1028 HIGHWAY 98 BYP, COLUMBIA, MS 39429-9190
(601) 736-0368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E15976
MS
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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