Ryan Terry Johansen
Ryan Terry Johansen is a Pharmacist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2007.
- Licensed in
- UT
- In the registry since
- 2007
Practice location Address checks out
3179 N Canyon RdProvo, UT 84604-3916
Phone: (801) 377-2002
Fax: (801) 377-2007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 336415-1701 (UT) |
|---|
Record details
| NPI number | 1912128513 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 1, 2007 |
| Last updated in NPPES | July 28, 2022 |
| Certification date | July 28, 2022 |
| Mailing address | 3638 W 12125 S, Riverton, UT 84065-7404 |
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