Provider Demographics
NPI:1003045568
Name:FROELICH, RYAN R (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:R
Last Name:FROELICH
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 FORKS OF THE RIVER PKWY
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-3435
Mailing Address - Country:US
Mailing Address - Phone:865-908-8755
Mailing Address - Fax:
Practice Address - Street 1:119 FORKS OF THE RIVER PKWY
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-3435
Practice Address - Country:US
Practice Address - Phone:865-908-8755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2023-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118114183500000X
TN40683183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist