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NPI Code Detail

MEDICARE: JOBIE RYAN

MEDICARE: JOBIE RYAN
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
1183500000XPharmacist44133TX

General Provider Information

NPI Number : 1619837556
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOBIE RYAN
Provider Business Mailing Address
First Line : 8500 JONES MALTSBERGER RD # 5913
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-5913
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8500 JONES MALTSBERGER RD # 5913
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-5913
Country : US
Telephone Number : 210-377-3139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2025
Last Update Date : 11/13/2025

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Directions to “ JOBIE RYAN ” Practice Location

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