DR. Ryan Tiarks, PHARMD

NPI #1679842702 in Rantoul, Illinois

Provider Information

NPI Number: 1679842702
Entity Type: Individual
Name: DR. Ryan Tiarks, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Dec 19, 2011
Last Updated: Dec 19, 2011

Practice Location

Address: 220 S CENTURY BLVD
City: Rantoul
State: Illinois
ZIP Code: 61866-2309
Phone: (217) 892-8415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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