Healthcare Provider Details
I. General information
NPI: 1629220785
Provider Name (Legal Business Name): PHARMRAMRX, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/21/2008
Last Update Date: 10/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1112 E GRIFFIN PKWY STE B
MISSION TX
78572-2409
US
IV. Provider business mailing address
1112 E GRIFFIN PKWY STE B
MISSION TX
78572-2409
US
V. Phone/Fax
- Phone: 956-581-7455
- Fax: 956-581-7464
- Phone: 956-581-7455
- Fax: 956-581-7464
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 26214 |
| License Number State | TX |
VIII. Authorized Official
Name:
VERONICA
RAMIREZ
Title or Position: OWNER/PHARMACIST
Credential: R.PH.
Phone: 956-581-7455