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NPI Code Detail

MEDICARE: RYAN NICOLAS ALLEN PHARMD.

MEDICARE: RYAN NICOLAS ALLEN 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
1183500000XPharmacist77314CA

General Provider Information

NPI Number : 1659881746
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN NICOLAS ALLEN PHARMD.
Provider Business Mailing Address
First Line : 26468 CARL BOYER DR
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350-2995
Country : US
Telephone Number : 661-222-7568
Fax Number :
Provider Business Practice Location Address
First Line : 26468 CARL BOYER DR
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350-2995
Country : US
Telephone Number : 661-222-7568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2017
Last Update Date : 10/03/2017

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Directions to “ RYAN NICOLAS ALLEN PHARMD.” Practice Location

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