Individual
DR. RYAN K FRICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2803 E KANESVILLE BLVD, COUNCIL BLUFFS, IA 51503-1004
(712) 325-0987
Mailing address
8131 N 147TH AVE, BENNINGTON, NE 68007-7034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13267
NE
183500000X
Pharmacist
21255
IA
Other
Enumeration date
03/04/2010
Last updated
08/22/2010
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