IndividualActive
Ethan Ryberg, PHARMD
NPI 1780244343 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Red Lake, MN
Provider details
- NPI number
- 1780244343
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- RPH6116 (ND)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
24760 Hospital Rd
Red Lake, MN 56671
Phone: (218) 679-3912
Approximate (ZIP-level) locationGet directions
Mailing address
415 Lake Shore Dr Ne Apt 101
Bemidji, MN 56601-4682
Registry dates
- Enumerated
- 2019-06-17
- Last updated
- 2019-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.