MEDICARE: DR. MELISSA AILEEN RAMIREZ PHARM D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS57074	FL

General Provider Information

NPI Number	:	1417467689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA AILEEN RAMIREZ PHARM D

Provider Business Mailing Address
First Line	:	11152 SW 100TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-3467
Country	:	US
Telephone Number	:	305-801-7820
Fax Number	:

Provider Business Practice Location Address
First Line	:	11152 SW 100TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-3467
Country	:	US
Telephone Number	:	305-597-8291
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2017
Last Update Date	:	10/09/2017

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