Healthcare Provider Details

I. General information

NPI: 1508147901
Provider Name (Legal Business Name): RYAN DENNIS MAHLE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2011
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 OLD COOCHS BRIDGE RD STE 100
NEWARK DE
19702-2483
US

IV. Provider business mailing address

2051 OLD COOCHS BRIDGE RD STE 100
NEWARK DE
19702-2483
US

V. Phone/Fax

Practice location:
  • Phone: 302-395-8943
  • Fax:
Mailing address:
  • Phone: 302-395-8943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24732
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302418860
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0003713
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: