=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376875617
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHERRI JOANN RAMIREZ RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/11/2010
-----------------------------------------------------
Last Update Date | 02/11/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2535 S COLLEGE AVE
-----------------------------------------------------
City | FORT COLLINS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80525-1725
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-484-2975
-----------------------------------------------------
Fax | 970-484-9216
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2535 S COLLEGE AVE
-----------------------------------------------------
City | FORT COLLINS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80525-1725
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-484-2975
-----------------------------------------------------
Fax | 970-484-9216
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 12624
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 2486
-----------------------------------------------------
License Number State | WY
-----------------------------------------------------