Provider Demographics
NPI:1891567822
Name:MESSER, MARK RYAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:RYAN
Last Name:MESSER
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 1:1001 CHERRY ST STE A
Mailing Address - Street 2:
Mailing Address - City:BLANCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45107-1346
Mailing Address - Country:US
Mailing Address - Phone:937-783-0270
Mailing Address - Fax:937-783-0295
Practice Address - Street 1:1001 CHERRY ST STE A
Practice Address - Street 2:
Practice Address - City:BLANCHESTER
Practice Address - State:OH
Practice Address - Zip Code:45107-1346
Practice Address - Country:US
Practice Address - Phone:937-783-0270
Practice Address - Fax:937-783-0295
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3233027183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist