Provider Demographics
NPI:1366816571
Name:RYAN, LAURA (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:RYAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 MEADOW CROFT CIR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5862
Mailing Address - Country:US
Mailing Address - Phone:717-856-0799
Mailing Address - Fax:
Practice Address - Street 1:875 POPLAR CHURCH RD STE 400
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2203
Practice Address - Country:US
Practice Address - Phone:717-214-1062
Practice Address - Fax:717-214-1067
Is Sole Proprietor?:No
Enumeration Date:2015-11-26
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP450135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist