Provider Demographics
NPI:1861741654
Name:BANE, RYAN A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:A
Last Name:BANE
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 1:48661 NATIONAL RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-9701
Mailing Address - Country:US
Mailing Address - Phone:740-695-7050
Mailing Address - Fax:
Practice Address - Street 1:48661 NATIONAL RD
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-9701
Practice Address - Country:US
Practice Address - Phone:740-695-7050
Practice Address - Fax:740-695-7045
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03230921183500000X
WVRP0007510183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist