| NPI | 1295513950 |
|---|---|
| Former Name | RYAN AHRENS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 107011) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2023036263) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-14 |