MEDICARE: DR. RYAN VITZTHUM PHARM D

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	183500000X	Pharmacist	21379	IA
2	183500000X	Pharmacist	119513	MN

General Provider Information

NPI Number	:	1801181607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN VITZTHUM PHARM D

Provider Business Mailing Address
First Line	:	3400 EDGEWOOD RD SW
Second Line	:	T-1771
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52404-7214
Country	:	US
Telephone Number	:	319-396-4777
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 EDGEWOOD RD SW
Second Line	:	T-1771
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52404-7214
Country	:	US
Telephone Number	:	319-396-4777
Fax Number	:

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

Provider Enumeration Date	:	06/09/2011
Last Update Date	:	06/09/2011

Similar Medicare Providers

1477575116 — IOWA CVS PHARMACY LLC
Practice Location Address:

3400 EDGEWOOD RD SW
CEDAR RAPIDS, IA
52404-7214

Practice Phone: 319-396-4777
Practice Fax: 319-396-4777

1265583579 — LUXOTTICA OF AMERICA INC.
Practice Location Address:

3400 EDGEWOOD RD SW
SOUTH CEDAR RAPIDS, IA
52404-7214

Practice Phone: 319-396-5005
Practice Fax:

1316071681 — HEATHER GATES PHARM D
Practice Location Address:

3400 EDGEWOOD RD SW
CEDAR RAPIDS, IA
52404-7214

Practice Phone: 193-396-4777
Practice Fax:

1831426147 — JASON S. PFEIFER, O.D., P.C.
Practice Location Address:

3400 EDGEWOOD RD SW
CEDAR RAPIDS, IA
52404-7214

Practice Phone: 319-396-5005
Practice Fax:

1275827313 — JILL HUNTINGTON PHARMD
Practice Location Address:

3400 EDGEWOOD RD SW
CEDAR RAPIDS, IA
52404-7214

Practice Phone: 319-396-4777
Practice Fax:

1164717336 — MR. MICHAEL R TORTORA RPH
Practice Location Address:

3400 EDGEWOOD RD SW , TARGET PHARMACY STORE NUMBER (T-1771)
CEDAR RAPIDS, IA
52404-7214

Practice Phone: 319-396-4777
Practice Fax: 319-396-4777

Directions to “ DR. RYAN VITZTHUM PHARM D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.