Provider Demographics
NPI:1366855256
Name:RYLAND, LORI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:
Last Name:RYLAND
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:912 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MC COOK
Mailing Address - State:NE
Mailing Address - Zip Code:69001-2916
Mailing Address - Country:US
Mailing Address - Phone:717-360-4158
Mailing Address - Fax:308-344-8285
Practice Address - Street 1:1301 EAST H ST.
Practice Address - Street 2:COMMUNITY HOSPITAL PHARMACY
Practice Address - City:MCCOOK
Practice Address - State:NE
Practice Address - Zip Code:69001
Practice Address - Country:US
Practice Address - Phone:308-344-8258
Practice Address - Fax:308-344-8285
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE15440183500000X
MD20847183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist