Provider Demographics
NPI:1558975961
Name:WEHLANDER, RYAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:WEHLANDER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:RYAN
Other - Middle Name:
Other - Last Name:WEHLANDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1615 QUEENS DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-1559
Mailing Address - Country:US
Mailing Address - Phone:651-731-4778
Mailing Address - Fax:
Practice Address - Street 1:1615 QUEENS DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-1559
Practice Address - Country:US
Practice Address - Phone:651-731-4778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN123110183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist