MEDICARE: RYAN PHARMACY, INC.

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629094859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYAN PHARMACY, INC.

Provider Business Mailing Address
First Line	:	3340 DORR ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-2717
Country	:	US
Telephone Number	:	419-531-2836
Fax Number	:	419-531-7085

Provider Business Practice Location Address
First Line	:	3340 DORR ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-2717
Country	:	US
Telephone Number	:	419-531-2836
Fax Number	:	419-531-7085

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. TIMOTHY J RYAN
Credential	:
Telephone Number	:	419-531-2836

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	08/22/2020

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Directions to “RYAN PHARMACY, INC. ” Practice Location

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