Ryan Bender, PHARM.D

Individual provider Active NPI Pharmacist · Cottage Grove, WI

NPI 1598866006 · NPPES record last updated Jun 26, 2019

Key facts

NPI
1598866006
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
14408-040 (WI)
Practice address
429 W Cottage Grove Rd
Cottage Grove, WI 53527-9385
Phone
(608) 839-3335
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
14408-040WIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14408-040 WI Yes

Addresses

Primary practice location

429 W Cottage Grove Rd
Cottage Grove, WI 53527-9385

Mailing address

639 S Main St
De Forest, WI 53532-1478

Other providers in Cottage Grove, WI

All providers in Cottage Grove, WI · Pharmacist in Wisconsin

Sources for this page

Verify at the official NPI Registry.