Provider Demographics
NPI:1619018298
Name:CROSSMAN, RYAN ROSS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:ROSS
Last Name:CROSSMAN
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 1:8400 VETERANS PKWY
Mailing Address - Street 2:APT #1123
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-2416
Mailing Address - Country:US
Mailing Address - Phone:706-573-5649
Mailing Address - Fax:
Practice Address - Street 1:8400 VETERANS PKWY
Practice Address - Street 2:APT #1123
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-2416
Practice Address - Country:US
Practice Address - Phone:706-573-5649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023242183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist