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NPI Code Detail

MEDICARE: NATALIE MICHELLE RYAN PHARMD

MEDICARE:   NATALIE MICHELLE 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
1183500000XPharmacist051.290213IL

General Provider Information

NPI Number : 1932480795
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE MICHELLE RYAN PHARMD
Provider Business Mailing Address
First Line : 635 NICKTOWN HILL RD
Second Line :
City : NORTHERN CAMBRIA
State : PA
Zip : 15714-9505
Country : US
Telephone Number : 815-505-0990
Fax Number :
Provider Business Practice Location Address
First Line : 4200 INDUSTRIAL PARK DR
Second Line :
City : ALTOONA
State : PA
Zip : 16602-1737
Country : US
Telephone Number : 815-505-0990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2011
Last Update Date : 07/03/2024

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Directions to “ NATALIE MICHELLE RYAN PHARMD” Practice Location

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