Russell, Ryan
Russell, Ryan is an individual health care provider with primary practice located at 415 6Th St , Lewiston ID 83501-2431. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Russell, Ryan can be contacted via phone (208) 799-5626.Contact Information
Primary practice address
415 6Th St
Lewiston ID 83501-2431
Phone: (208) 799-5626
Fax: (208) 799-5424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P7514 | Idaho |
Profile Details
| NPI number | 1669823647 |
|---|---|
| LBN Legal business name | Russell, Ryan |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2016 |
| Last updated | Jun 30th, 2016 - about 10 years 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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