Organization
TECIA RYAN, PHARM.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TECIA GAIL RYAN PHARM.D. (CEO, CFO, SOLE STOCKHOLDER)
(510) 385-5094
Entity
Organization
Contact information
Practice address
2515 MILVIA ST, BERKELEY, CA 94704-2605
(510) 385-5094
(510) 981-1678
Mailing address
2515 MILVIA ST, BERKELEY, CA 94704-2605
(510) 385-5094
(510) 981-1678
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
27261
CA
1835P1200X
Pharmacotherapy Pharmacist
Primary
27261
CA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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