Organization
RYAN PHARMACY INC
Active
Other names
RYAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY RYAN (OWNER)
(319) 334-7171
Entity
Organization
Contact information
Practice address
1600 1ST ST E, INDEPENDENCE, IA 50644-3155
(319) 334-7171
(319) 334-7074
Mailing address
1600 1ST ST E, INDEPENDENCE, IA 50644-3155
(319) 334-7171
(319) 334-7074
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
705
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236885
—
IA
01
—
2028084
PK
—
Enumeration date
06/19/2006
Last updated
03/11/2019
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