Provider Demographics
NPI:1801063557
Name:BROWNE, RYAN PHILIP (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:PHILIP
Last Name:BROWNE
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 1:15336 EVERGREEN RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48223-1741
Mailing Address - Country:US
Mailing Address - Phone:313-202-1761
Mailing Address - Fax:
Practice Address - Street 1:360 MARTIN LUTHER KING JR BLVD N
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48342-1712
Practice Address - Country:US
Practice Address - Phone:248-335-0602
Practice Address - Fax:248-332-8960
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302034839183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist