Doctor Name: | DR. RYAN JOSEPH FENNICK |
NPI Number: | 1528330123 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARMD |
License Number: | 11740 |
Business Practice Address: | 142 Jameson Way Seven Fields, PA - 160464324 |
Business Phone Number: | 7248225359 |
Business Fax Number: | |
Mailing Address: | 142 Jameson Way, SEVEN FIELDS |
State: | PA |
Postal Code: | 160464324 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/30/2012 |
NPI Last Update Date: | 01/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 11740 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |