Healthcare Provider Details

I. General information

NPI: 1235117060
Provider Name (Legal Business Name): RICARDO V RAMIREZ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3925 236TH AVE NE
REDMOND WA
98053-8455
US

IV. Provider business mailing address

321 243RD AVE SE
SAMMAMISH WA
98074-3452
US

V. Phone/Fax

Practice location:
  • Phone: 425-836-8706
  • Fax:
Mailing address:
  • Phone: 425-427-6948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00021531
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: