Doctor Name: | RYAN MCLELAND |
NPI Number: | 1700151800 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | I10184 |
Business Practice Address: | 103 Karie Dr Sellersburg, IN - 471729453 |
Business Phone Number: | 8122466324 |
Business Fax Number: | 8122466324 |
Mailing Address: | 103 Karie Dr, SELLERSBURG |
State: | IN |
Postal Code: | 471729453 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/21/2012 |
NPI Last Update Date: | 06/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | I10184 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |