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NPI Code Detail

MEDICARE: RYAN W DEMPSEY

MEDICARE: RYAN W DEMPSEY
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
1183500000XPharmacistRP0006053WV

General Provider Information

NPI Number : 1811280043
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN W DEMPSEY
Provider Business Mailing Address
First Line : 5870 WEBSTER RD
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-9105
Country : US
Telephone Number : 304-872-4394
Fax Number :
Provider Business Practice Location Address
First Line : 5870 WEBSTER RD
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-9105
Country : US
Telephone Number : 304-872-4394
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2011
Last Update Date : 05/20/2011

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Directions to “ RYAN W DEMPSEY ” Practice Location

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