Provider Demographics
NPI:1225151459
Name:BOOKOUT, RYAN NEIL (PHARMD, BCOP)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:NEIL
Last Name:BOOKOUT
Suffix:
Gender:M
Credentials:PHARMD, BCOP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 DOCKVIEW WAY
Mailing Address - Street 2:APARTMENT 1426
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-6729
Mailing Address - Country:US
Mailing Address - Phone:513-460-0084
Mailing Address - Fax:
Practice Address - Street 1:12902 USF MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9416
Practice Address - Country:US
Practice Address - Phone:813-745-6482
Practice Address - Fax:813-745-6737
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS420311835X0200X
OH03-3-257731835X0200X
PARP4405831835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology