Michael Ryan

NPI #1003488826 in Council Bluffs, Iowa

Provider Information

NPI Number: 1003488826
Entity Type: Individual
Name: Michael Ryan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 12, 2021
Last Updated: Jul 12, 2021

Practice Location

Address: 1141 N BROADWAY
City: Council Bluffs
State: Iowa
ZIP Code: 51503-1513
Phone: (712) 322-9019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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