Provider Demographics
NPI:1649740333
Name:FLANARY, RYAN DEAN (PHARMD)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:DEAN
Last Name:FLANARY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12724 E 86TH ST N
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-2548
Mailing Address - Country:US
Mailing Address - Phone:918-272-2881
Mailing Address - Fax:918-272-2883
Practice Address - Street 1:12802 E 86TH ST N
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-2552
Practice Address - Country:US
Practice Address - Phone:918-272-2881
Practice Address - Fax:918-272-2883
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13580183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist