Provider Demographics
NPI:1063411130
Name:RYAN HADDAD, ANN MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:MARIE
Last Name:RYAN HADDAD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 S 52ND ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-3544
Mailing Address - Country:US
Mailing Address - Phone:402-551-3786
Mailing Address - Fax:
Practice Address - Street 1:CREIGHTON UNIVERSITY SCHOOL OF PHARMACY & HEALTH P
Practice Address - Street 2:2500 CALIFORNIA PLAZA, HSL 107
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68178-0001
Practice Address - Country:US
Practice Address - Phone:402-280-1263
Practice Address - Fax:402-280-1883
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-20
Last Update Date:2008-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10212183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist