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NPI Code Detail

MEDICARE: RYAN L MEZINGER RPH

MEDICARE: RYAN L MEZINGER RPH
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
1183500000XPharmacist03225319OH

General Provider Information

NPI Number : 1710255807
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN L MEZINGER RPH
Provider Business Mailing Address
First Line : 9574 TABERNA LN
Second Line :
City : OLMSTED FALLS
State : OH
Zip : 44138-4257
Country : US
Telephone Number : 440-476-2409
Fax Number :
Provider Business Practice Location Address
First Line : 11701 DETROIT AVE
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-3041
Country : US
Telephone Number : 216-227-1373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2011
Last Update Date : 12/05/2011

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Directions to “ RYAN L MEZINGER RPH” Practice Location

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