National Provider Identifier
Ryan Peter Domagala
Ryan Peter Domagala is listed in the NPPES registry with a primary specialty of Pharmacist in Falconer, NY and a listed phone number of (716) 665-2476.
Profile Overview
- NPI
- 1598362659
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- October 01, 2020
- Last Updated
- October 01, 2020
Practice Location
- 10 S Work St
- Falconer, NY 14733-1329
Phone: (716) 665-2476
Mailing Address
- 115 W Fairmount Ave
- Lakewood, NY 14750-1635
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1598362659
- Entity Type
- Individual
- Last Name
- Domagala
- First Name
- Ryan
- Middle Name
- Peter
- Mailing Street Address
- 115 W Fairmount Ave
- Mailing City
- Lakewood
- Mailing State
- NY
- Mailing ZIP Code
- 14750-1635
- Mailing Country
- US
- Practice Street Address
- 10 S Work St
- Practice City
- Falconer
- Practice State
- NY
- Practice ZIP Code
- 14733-1329
- Practice Country
- US
- Practice Phone
- (716) 665-2476
- Enumeration Date
- October 01, 2020
- Last Updated
- October 01, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 01, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)