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NPI Code Detail

MEDICARE: RYAN ANDREW MOY

MEDICARE: RYAN ANDREW MOY
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
1183700000XPharmacy Technician09220744OH

General Provider Information

NPI Number : 1528993102
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN ANDREW MOY
Provider Business Mailing Address
First Line : 545 GREYSTONE DR
Second Line :
City : WADSWORTH
State : OH
Zip : 44281-8157
Country : US
Telephone Number : 330-926-6944
Fax Number :
Provider Business Practice Location Address
First Line : 520 W 10TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43210-1328
Country : US
Telephone Number : 614-293-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ RYAN ANDREW MOY ” Practice Location

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