Individual
DR. LAURENCE N RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
11343 US HIGHWAY 319 N, THOMASVILLE, GA 31757-3419
(229) 226-5424
(229) 226-5048
Mailing address
11343 US HIGHWAY 319 N, THOMASVILLE, GA 31757-3419
(229) 226-5424
(229) 226-5048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS 33638
FL
183500000X
Pharmacist
Primary
RPH019259
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014505577A
—
GA
Enumeration date
12/27/2011
Last updated
12/27/2011
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