MEDICARE: DR. RYAN CHARLES ZIMMERLY PHARM.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	P5451	ID

General Provider Information

NPI Number	:	1447269691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN CHARLES ZIMMERLY PHARM.D

Provider Business Mailing Address
First Line	:	778 S TIBURON AVE
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83642-3590
Country	:	US
Telephone Number	:	208-884-4871
Fax Number	:

Provider Business Practice Location Address
First Line	:	1118 NW 16TH ST
Second Line	:	SUITE D.
City	:	FRUITLAND
State	:	ID
Zip	:	83619-2271
Country	:	US
Telephone Number	:	208-452-8698
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1306834643 — JAN OLOF DAHLIN M.D.
Practice Location Address:

1118 NW 16TH ST , SUITE C
FRUITLAND, ID
83619-2271

Practice Phone: 208-452-2510
Practice Fax: 208-452-2513

1710975057 — FRUITLAND ORTHOPEDIC CLINIC
Practice Location Address:

1118 NW 16TH ST , SUITE C
FRUITLAND, ID
83619-2271

Practice Phone: 208-452-2510
Practice Fax: 208-452-2513

1750372579 — DOMINICAN HEALTH SERVICES
Practice Location Address:

1118 NW 16TH ST
FRUITLAND, ID
83619-2271

Practice Phone: 208-452-6851
Practice Fax: 541-881-7156

1760564553 — ONTARIO PHARMACY INC
Practice Location Address:

1118 NW 16TH ST # 150
FRUITLAND, ID
83619-2271

Practice Phone: 208-452-7075
Practice Fax: 208-452-7446

1659700896 — ONTARIO PHARMACY INC
Practice Location Address:

1118 NW 16TH ST # 150B
FRUITLAND, ID
83619-2271

Practice Phone: 208-452-3340
Practice Fax: 208-452-7446

1013791797 — ST LUKES REGIONAL MEDICAL CENTER
Practice Location Address:

1118 NW 16TH ST STE 150
FRUITLAND, ID
83619-2271

Practice Phone: 208-452-9890
Practice Fax: 208-452-9899

Directions to “ DR. RYAN CHARLES ZIMMERLY PHARM.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.