Provider Demographics
NPI:1023739877
Name:MIHALY, RYAN PATRICK (PHARMD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:PATRICK
Last Name:MIHALY
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 1:803 FAIRFIELD ESTATES CT
Mailing Address - Street 2:
Mailing Address - City:CROWNSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21032-2057
Mailing Address - Country:US
Mailing Address - Phone:443-994-9228
Mailing Address - Fax:
Practice Address - Street 1:8115 RITCHIE HWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-6917
Practice Address - Country:US
Practice Address - Phone:410-421-9304
Practice Address - Fax:410-421-9366
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28814183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist