MEDICARE: DR. VANESSA RAMIREZ CANO PHARM.D.

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	S024231	AZ

General Provider Information

NPI Number	:	1225687767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VANESSA RAMIREZ CANO PHARM.D.

Provider Business Mailing Address
First Line	:	21174 E LEGEND DR
Second Line	:
City	:	RED ROCK
State	:	AZ
Zip	:	85145-5022
Country	:	US
Telephone Number	:	404-769-2350
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 E FORT LOWELL RD STE 120
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2366
Country	:	US
Telephone Number	:	520-585-5020
Fax Number	:	520-795-0850

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

Provider Enumeration Date	:	09/07/2019
Last Update Date	:	09/07/2019

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