Individual
DR. TRACY RYAN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2500 N 1ST AVE, EVANSVILLE, IN 47710-2950
(812) 647-9498
Mailing address
8219 PETERSBURG RD, EVANSVILLE, IN 47725-1489
(812) 454-9769
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019599A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26019599A
INDIANA PHARMACY LICENSE
IN
Enumeration date
02/21/2022
Last updated
02/21/2022
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