DR. Ryan Fan, R.PH

NPI #1174182489 in Boscobel, Wisconsin

Provider Information

NPI Number
1174182489
Entity Type
Individual
Name
DR. Ryan Fan, R.PH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
R.PH
Enumeration Date
Jun 10, 2019
Last Updated
Jun 10, 2019

Practice Location

Address
1028 WISCONSIN AVE
ZIP Code
53805-1532
Phone
(703) 606-1417

Specialties & Taxonomy Codes

Specialty
Pharmacist

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