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NPI Code Detail

MEDICARE: AMY JO RYAN PHARMD

MEDICARE:   AMY JO RYAN  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
1183500000XPharmacist14186114-1701UT

General Provider Information

NPI Number : 1841080702
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY JO RYAN PHARMD
Provider Business Mailing Address
First Line : 2446 S PROGRESS DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84119-1339
Country : US
Telephone Number : 801-599-9000
Fax Number :
Provider Business Practice Location Address
First Line : 2446 S PROGRESS DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84119-1339
Country : US
Telephone Number : 877-418-4114
Fax Number : 877-418-4495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2025
Last Update Date : 05/12/2025

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Directions to “ AMY JO RYAN PHARMD” Practice Location

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