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NPI Code Detail

MEDICARE: RYAN BORTZ PHARMD

MEDICARE: RYAN BORTZ 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
1183500000XPharmacist122537MN
2183500000XPharmacistRP447728PA

General Provider Information

NPI Number : 1518390574
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN BORTZ PHARMD
Provider Business Mailing Address
First Line : 3808 NICOLLET AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55409-1304
Country : US
Telephone Number : 612-484-3113
Fax Number :
Provider Business Practice Location Address
First Line : 3808 NICOLLET AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55409-1304
Country : US
Telephone Number : 612-484-3113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2013
Last Update Date : 04/08/2025

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Directions to “ RYAN BORTZ PHARMD” Practice Location

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