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General NPI Number Information
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NPI Number | 1679666010
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Entity Type | Organization
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Legal Business Name | RONNY RAMIREZ RX CORP
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 05/03/2016
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Provider Practice Location Address
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Address Line | 3105 NW 107TH AVE STE 102 STE 102
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City | DORAL
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State | FL
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Zip | 33172-2215
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Country | US
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Telephone | 305-629-9891
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Fax | 305-436-0818
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Provider Business Mailing Address
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Address Line | 3105 NW 107TH AVE STE 102
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City | DORAL
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State | FL
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Zip | 33172-2185
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Country | US
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Telephone | 305-629-9891
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Fax | 305-436-0818
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Authorized Official
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Title or Position | OWNER
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Name | RONNY RAMIREZ
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Credential | RPH
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Telephone | 305-629-9891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH20994
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License Number State | FL
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