Provider Demographics
NPI:1336589597
Name:RILEY, RYAN D (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:D
Last Name:RILEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 E DUBLIN GRANVILLE RD STE 153
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3192
Mailing Address - Country:US
Mailing Address - Phone:614-368-5150
Mailing Address - Fax:614-880-9166
Practice Address - Street 1:445 E DUBLIN GRANVILLE RD STE 153
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3192
Practice Address - Country:US
Practice Address - Phone:614-368-5150
Practice Address - Fax:614-880-9166
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03232937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist