Provider Demographics
NPI:1437352200
Name:HYRE, CASEY RYAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:RYAN
Last Name:HYRE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2256 NOVA VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33317-7030
Mailing Address - Country:US
Mailing Address - Phone:786-264-1083
Mailing Address - Fax:
Practice Address - Street 1:201 NW 70TH AVE
Practice Address - Street 2:SUITE D-E
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2369
Practice Address - Country:US
Practice Address - Phone:954-641-1448
Practice Address - Fax:954-641-1505
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2010-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL42776183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist