NPI 1003488826

Michael Ryan

Practitioner Pharmacist Council Bluffs, IA

Practice location

Address: 1141 N Broadway, Council Bluffs, IA 51503-1513
Phone: (712) 322-9019
Fax: (712) 325-9731

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 18333 (IA)

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Registry record

NPI: 1003488826
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2021
Record last updated: 12 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.