Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ryan Fan, RPH

Individual provider Pharmacist · NPI 1174182489

Dr. Ryan Fan, RPH is a Pharmacist in Boscobel, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1028 Wisconsin Ave
Boscobel, WI 53805-1532
Phone: (703) 606-1417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 19763-40 (WI)

Record details

NPI number1174182489
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESJune 10, 2019
Mailing address1028 Wisconsin Ave, Boscobel, WI 53805-1532

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