Healthcare Provider Details

I. General information

NPI: 1538169958
Provider Name (Legal Business Name): LEONARD V RAMLATCHMAN RPH, BCPP
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 FREDERICK AVE
SAINT JOSEPH MO
64506-2914
US

IV. Provider business mailing address

3913 W HAVERILL ST
SAINT JOSEPH MO
64506-1336
US

V. Phone/Fax

Practice location:
  • Phone: 816-387-2564
  • Fax: 816-387-2391
Mailing address:
  • Phone: 816-232-2965
  • Fax: 816-387-2391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number040626
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number040626
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: