Individual provider · Type 1 NPI

Mark Alan Rysticken, RPH

Pharmacist · Brillion, WI

NPI number 1164618013 Active

Practice location

1010 W Ryan St
Brillion, WI 54110-1079

Fax (920) 756-9262

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X11946 (WI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1164618013

Mark Alan Rysticken, RPH's National Provider Identifier is 1164618013, issued on Sep 24, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Brillion, WI. The record was last updated on Nov 7, 2012.