DR. Ryan Blake Province, PHARMD
NPI #1134592454 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1134592454
- Entity Type
- Individual
- Name
- DR. Ryan Blake Province, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Credential
- PHARMD
- Enumeration Date
- Nov 9, 2015
- Last Updated
- Nov 9, 2015
Practice Location
- Address
- 4101 S 4TH ST
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-5014
- Phone
- (913) 682-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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