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NPI Code Detail

MEDICARE: RYAN AYRES

MEDICARE:   RYAN  AYRES
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
1183500000XPharmacist033.0134165VT

General Provider Information

NPI Number : 1023695236
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN AYRES
Provider Business Mailing Address
First Line : 82 PEARL ST
Second Line :
City : ESSEX JUNCTION
State : VT
Zip : 05452-3642
Country : US
Telephone Number : 802-878-5351
Fax Number :
Provider Business Practice Location Address
First Line : 82 PEARL ST
Second Line :
City : ESSEX JUNCTION
State : VT
Zip : 05452-3642
Country : US
Telephone Number : 802-878-5351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2021
Last Update Date : 12/28/2022

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Directions to “ RYAN AYRES ” Practice Location

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