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Dr. Ryan Blake Province, PHARMD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Leavenworth, Kansas
NPI 1134592454

Ryan Blake Province is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Leavenworth, KS and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Ryan Blake Province practices in Leavenworth, KS and has the professional credentials of PHARMD. The NPI Number for Ryan Blake Province is 1134592454 and holds a License No. 1-16504 (Kansas).

The current practice location address for Ryan Blake Province is 4101 S 4Th St, Leavenworth, KS and can be reached out via phone at 913-682-2000. You can also correspond with Ryan Blake Province through the mailing address at 4101 S 4TH ST, LEAVENWORTH, KS - 66048-5014 (mailing address contact number: 913-682-2000).

Location: 4101 S 4Th St, Leavenworth, KS, 66048-5014
person
Provider Profile Details
NPI Number
1134592454
Provider Name
Ryan Blake Province
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
4101 S 4Th St, Leavenworth, KS, 66048-5014
Phone Number
913-682-2000
Fax Number
Provider Enumeration Date
11/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4101 S 4Th St
City
State
Zip
66048-5014
Phone Number
913-682-2000
Fax Number
person
Provider Business Mailing Address Details
Address
4101 S 4Th St
City
State
Zip
66048-5014
Phone Number
913-682-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
License No.
1-16504 (Kansas)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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