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DR. RYAN LEE HUMPHREY PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1821695719
Individual Registrant:DR. RYAN LEE HUMPHREY PHARMD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1117 N MAIN ST JEWETT, TX 75846-7584 US
Tel: 903-626-5414 Fax: --
Tel: 903-626-5414 Fax: --
Contact information for business:
5265 RAGAN DR THE COLONY, TX 75056-1237 US
Tel: 972-948-3935 Fax: --
Tel: 972-948-3935 Fax: --
Registration Information:
NPI: 1821695719
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | TX | 58687 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
