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Ryan Wells

Pharmacist in Burkburnett, TX. Individual provider (NPI-1).

NPI number1639733819
StatusActive
Last updated in NPPESApr 24, 2019

Details

NPI
1639733819
Entity type
Individual (NPI-1)
Name
Ryan Wells
Sex
Male
Sole proprietor
No
Enumeration date
Apr 24, 2019
Last updated
Apr 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist45096TXYes

Practice location

311 S Avenue D
Burkburnett, TX 76354-3541

Phone 940-569-3319

Mailing address

311 S Avenue D
Burkburnett, TX 76354-3541

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