MEDICARE: RAMI INC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHY47556	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2051720	OTHER		PK

General Provider Information

NPI Number	:	1083774350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAMI INC

Provider Business Mailing Address
First Line	:	174 S ALVARADO ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-2211
Country	:	US
Telephone Number	:	213-483-8741
Fax Number	:	213-483-8743

Provider Business Practice Location Address
First Line	:	174 S ALVARADO ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-2211
Country	:	US
Telephone Number	:	213-483-8741
Fax Number	:	213-483-8743

Authorized Official
Title or Position	:	PHCY MGR
Name	:	TAI BUI
Credential	:	RPH
Telephone Number	:	213-483-8741

Provider Enumeration Date	:	12/09/2006
Last Update Date	:	04/28/2017

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Directions to “RAMI INC ” Practice Location

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