Provider Demographics
NPI:1679103105
Name:HINTON, JOHN RYAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:RYAN
Last Name:HINTON
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 1:601 MEETING ST APT 6075
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-6886
Mailing Address - Country:US
Mailing Address - Phone:615-663-4412
Mailing Address - Fax:
Practice Address - Street 1:601 MEETING ST APT 6075
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-6886
Practice Address - Country:US
Practice Address - Phone:615-663-4412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC42190183500000X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No183500000XPharmacy Service ProvidersPharmacist