Provider Demographics
NPI:1699794743
Name:HOSKINS, RYAN THOMAS (RPH)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:THOMAS
Last Name:HOSKINS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2082 BANNER WHITEHEAD RD
Mailing Address - Street 2:
Mailing Address - City:SOPHIA
Mailing Address - State:NC
Mailing Address - Zip Code:27350-9104
Mailing Address - Country:US
Mailing Address - Phone:336-434-5299
Mailing Address - Fax:336-434-5441
Practice Address - Street 1:11220 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ARCHDALE
Practice Address - State:NC
Practice Address - Zip Code:27263-2891
Practice Address - Country:US
Practice Address - Phone:336-434-2776
Practice Address - Fax:336-434-5441
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist