IndividualActive
Ryan Prouty, PHARM.D.
NPI 1114235462 · Pharmacotherapy Pharmacist · Green Bay, WI
Provider details
- NPI number
- 1114235462
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 5748 (SD)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2851 University Ave
Green Bay, WI 54311-5855
Phone: (920) 431-2500
Approximate (ZIP-level) locationGet directions
Mailing address
2851 University Ave
Green Bay, WI 54311-5855
Registry dates
- Enumerated
- 2010-09-21
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.