Individual
DR. RYAN WILLIAM HIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9209 MANSFIELD RD, SHREVEPORT, LA 71118-3152
(318) 671-0271
Mailing address
3305 WILLIAMSBURG DR, BOSSIER CITY, LA 71112-3169
(254) 338-2616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021397
LA
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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