Healthcare Provider Details

I. General information

NPI: 1184111429
Provider Name (Legal Business Name): FRANCISCO RAMIREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 04/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 WINCHESTER RD
MEMPHIS TN
38125-2202
US

IV. Provider business mailing address

3386 VILLAGE CROSS LN
COLLIERVILLE TN
38017-4545
US

V. Phone/Fax

Practice location:
  • Phone: 901-757-8292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number36780
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: