Healthcare Provider Details

I. General information

NPI: 1407197858
Provider Name (Legal Business Name): RALPH DOUGLAS REAMY PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2013
Last Update Date: 03/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2172 BLACKWOOD DR
WALNUT CREEK CA
94596-5711
US

IV. Provider business mailing address

2172 BLACKWOOD DR
WALNUT CREEK CA
94596-5711
US

V. Phone/Fax

Practice location:
  • Phone: 925-932-1827
  • Fax:
Mailing address:
  • Phone: 925-932-1827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23732
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: