DR. Ryan Patrick Mavis, PHARMD

NPI #1174172753 in Ada, Oklahoma

Provider Information

NPI Number: 1174172753
Entity Type: Individual
Name: DR. Ryan Patrick Mavis, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 6, 2019
Last Updated: Sep 6, 2019

Practice Location

Address: 1005 ARLINGTON ST
City: Ada
State: Oklahoma
ZIP Code: 74820-4036
Phone: (580) 272-0283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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