Ann C. Ryan, RPH

Individual provider Active NPI Pharmacist · Storrs Mansfield, CT

NPI 1669569653 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1669569653
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
6104 (CT)
Practice address
289 Woodland Rd
Storrs Mansfield, CT 06268-2332
Phone
(860) 208-4579
NPI assigned
Oct 10, 2006
Sex
Female
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
Registered Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6104 CT Yes

Addresses

Primary practice location

289 Woodland Rd
Storrs Mansfield, CT 06268-2332

Mailing address

289 Woodland Rd
Storrs Mansfield, CT 06268-2332
Phone (860) 208-4579

Other providers in Storrs Mansfield, CT

All providers in Storrs Mansfield, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.