MEDICARE: JOSEPH RAMIREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP00007832	NM

General Provider Information

NPI Number	:	1063763415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH RAMIREZ

Provider Business Mailing Address
First Line	:	3542 ZAFARANO DR
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-2606
Country	:	US
Telephone Number	:	505-471-2914
Fax Number	:	505-471-2463

Provider Business Practice Location Address
First Line	:	3542 ZAFARANO DR
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-2606
Country	:	US
Telephone Number	:	505-471-2914
Fax Number	:	505-471-2463

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	09/26/2012

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Directions to “ JOSEPH RAMIREZ ” Practice Location

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