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NPI Code Detail

MEDICARE: RYAN BELTZ PHARMD

MEDICARE: RYAN BELTZ 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
1183500000XPharmacist35936SC

General Provider Information

NPI Number : 1992197198
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN BELTZ PHARMD
Provider Business Mailing Address
First Line : 1 THE PKWY
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-5026
Country : US
Telephone Number : 864-288-9334
Fax Number :
Provider Business Practice Location Address
First Line : 1 THE PKWY
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-5026
Country : US
Telephone Number : 864-288-9334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2015
Last Update Date : 02/24/2015

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