Healthcare Provider Details

I. General information

NPI: 1790052744
Provider Name (Legal Business Name): NOEMI RAMOS-DESIMONE PHARM.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2011
Last Update Date: 11/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 WARWICK AVE
WARWICK RI
02889-1020
US

IV. Provider business mailing address

1560 WARWICK AVE
WARWICK RI
02889-1020
US

V. Phone/Fax

Practice location:
  • Phone: 401-737-2913
  • Fax: 401-737-3369
Mailing address:
  • Phone: 401-737-2913
  • Fax: 401-737-3369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH04621
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: