Provider Demographics
NPI:1225570906
Name:RYLANDS, RYAN JOSEPH (PHARM D)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:JOSEPH
Last Name:RYLANDS
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 1:200 W KENSINGER DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-3428
Mailing Address - Country:US
Mailing Address - Phone:888-319-1818
Mailing Address - Fax:844-710-6190
Practice Address - Street 1:200 W KENSINGER DR
Practice Address - Street 2:SUITE 600
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-3428
Practice Address - Country:US
Practice Address - Phone:888-319-1818
Practice Address - Fax:844-710-6190
Is Sole Proprietor?:No
Enumeration Date:2016-11-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP451051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist