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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RYAN BLAKE PROVINCE, PHARMD

Active

Pharmacist Clinician (PhC) · LEAVENWORTH, KS

Registration Details

NPI Number
1134592454
Provider Type
Individual
Gender
Male
NPI Issued
Nov 9, 2015 (10.448175024466 yrs)
Last Updated
Nov 9, 2015
License
1-16504 (KS)

Practice Information

Address
4101 S 4TH ST
LEAVENWORTH, KS, 660485014
Browse KS providers · Browse ZIP 66048
Phone
9136822000
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in LEAVENWORTH, KS

Name Credential NPI
DR. ROSELLE MARBAN SCHANKER PHARM.D. 1003870783
ANGELA D. EDWARDS PHARM.D. 1972758233
DR. APRIL F RUZICKA PHARMD 1649558115
DR. EMILY MAE POTTER PHARMD 1588943138
DR. EVA SCHAFFNER PHARM D 1609131150
BRANDON THOMAS PHARM.D. 1366815714
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.