Tecia Ryan, Pharm.D. in Berkeley - Nutrition Support
Tecia Ryan, Pharm.D. - NPI 1750543302
Tecia Ryan, Pharm.D. is a Nutrition Support in Berkeley, California. Tecia Ryan, Pharm.D. practices all healthcare services and medical treatments related to Nutrition Support. The NPI Number for Tecia Ryan, Pharm.D. is 1750543302. The last update date is 2008-06-25.
Tecia Ryan, Pharm.D.'s current location address is 2515 Milvia St, Berkeley, California. You can contact this provider via phone number 5103855094 and fax number 5109811678. The mailing address for Tecia Ryan, Pharm.D. is 2515 Milvia St, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tecia Ryan, Pharm.D. |
|---|---|
| Address | 2515 Milvia St, Berkeley, California |
| Phone Number | 5103855094 |
| Fax Number | 5109811678 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO, CFO, |
|---|---|
| Authorized Official Name | Ryan Gail Tecia |
| Credentials | PHARM.D. |
| Telephone Number | 5103855094 |
NPI Number Detail
| NPI Number | 1750543302 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 2515 Milvia St |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947042605 |
| Phone Number | 5103855094 |
| Fax Number | 5109811678 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition Support |
|---|---|
| Taxonomy | 1835N1003X |
| Licence No | 27261 |
|
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
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What is the Tecia Ryan, Pharm.D.'s 1750543302?
The Tecia Ryan, Pharm.D.'s NPI (National Provider Identifier) Number is 1750543302. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Tecia Ryan, Pharm.D. is geographically located?
The Tecia Ryan, Pharm.D. is physically situated at the following location: 2515 Milvia St, Berkeley, CA, 947042605.
What is Tecia Ryan, Pharm.D.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Tecia Ryan, Pharm.D.'s area of specialization is Nutrition Support, and the corresponding taxonomy code that categorizes this field of practice is 1835N1003X.
On what date did the Tecia Ryan, Pharm.D. receive the assignment of its 1750543302 from the Centers for Medicare & Medicaid Services?
The Tecia Ryan, Pharm.D. was issued its 1750543302 by the Centers for Medicare & Medicaid Services on 2008-06-25.
When was the information pertaining to Tecia Ryan, Pharm.D. most recently updated or revised?
The details related to Tecia Ryan, Pharm.D., including its address, specialty, and other relevant information, were last updated or revised on 2008-06-25.