Province, Ryan Blake

Province, Ryan Blake is an individual health care provider with primary practice located at 550 Pope Ave , Fort Leavenworth KS 66027-2332. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Province, Ryan Blake can be contacted via phone (913) 684-6250.

Contact Information

Primary practice address
550 Pope Ave Fort Leavenworth KS 66027-2332
Phone: (913) 684-6250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 1-16504 Kansas

Profile Details

NPI number 1134592454
LBN Legal business name Province, Ryan Blake
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2015
Last updated Jul 8th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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