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

Mr. Mark Alan Rysticken, RPH

Individual provider Pharmacist · NPI 1164618013

Mr. Mark Alan Rysticken, RPH is a Pharmacist in Brillion, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

1010 W Ryan St
Brillion, WI 54110-1079
Phone: (920) 756-2640
Fax: (920) 756-9262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 11946 (WI)

Record details

NPI number1164618013
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedSeptember 24, 2007
Last updated in NPPESNovember 7, 2012
Mailing address1010 W Ryan St, Brillion, WI 54110-1079

Other providers in Brillion