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Individual

KEVIN PADRIC RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4727 DENVER AVENUE SOUTH, C/O BARTELL DRUG COMPANY, SEATTLE, WA 98134-2316
(206) 763-2626
(206) 767-1397
Mailing address
14530 14TH AVE SE, MILL CREEK, WA 98012
(425) 379-0613

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00020051
WA

Other

Enumeration date
07/07/2006
Last updated
07/08/2007
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