Provider Demographics
NPI:1326713744
Name:OAKLEY, RYAN GREGORY (PHARMD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:GREGORY
Last Name:OAKLEY
Suffix:
Gender:M
Credentials:PHARMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2426 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-9015
Mailing Address - Country:US
Mailing Address - Phone:256-677-2279
Mailing Address - Fax:
Practice Address - Street 1:103 GREENHILL BLVD NW
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35967-3701
Practice Address - Country:US
Practice Address - Phone:256-845-6640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21911183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist