MEDICARE: RYAN CASE PHARMD

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	43533	TN

General Provider Information

NPI Number	:	1487162285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN CASE PHARMD

Provider Business Mailing Address
First Line	:	1135 VINTA MILL RD
Second Line	:
City	:	PROSPECT
State	:	TN
Zip	:	38477-6601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1406 DONELSON PKWY
Second Line	:
City	:	DOVER
State	:	TN
Zip	:	37058-3730
Country	:	US
Telephone Number	:	931-232-1300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2018
Last Update Date	:	03/13/2024

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Directions to “ RYAN CASE PHARMD” Practice Location

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