MEDICARE: RAM PHARMACY 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	183500000X	Pharmacist	024636	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407839251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAM PHARMACY INC.

Provider Business Mailing Address
First Line	:	146 NAGLE AVENUE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10040-1437
Country	:	US
Telephone Number	:	212-304-0649
Fax Number	:	212-304-2959

Provider Business Practice Location Address
First Line	:	146 NAGLE AVENUE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10040-1437
Country	:	US
Telephone Number	:	212-304-0649
Fax Number	:	212-304-2959

Authorized Official
Title or Position	:	SUPERVISING PHARMACIST
Name	:	MR. RAVAJI S. BRAHMBHATT
Credential	:	RPH.
Telephone Number	:	212-304-0649

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	02/13/2008

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