MEDICARE: DR. LARRY GUY RAMEY PHARMD

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	15234	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	15234	OTHER	GA	LICENSE

General Provider Information

NPI Number	:	1669472981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY GUY RAMEY PHARMD

Provider Business Mailing Address
First Line	:	3400 OLD MILTON PKWY
Second Line	:	SUITE 140
City	:	ALPHARETTA
State	:	GA
Zip	:	30005-3707
Country	:	US
Telephone Number	:	770-667-4023
Fax Number	:	770-751-7292

Provider Business Practice Location Address
First Line	:	3400 OLD MILTON PKWY
Second Line	:	SUITE 140
City	:	ALPHARETTA
State	:	GA
Zip	:	30005-3707
Country	:	US
Telephone Number	:	770-667-4023
Fax Number	:	770-751-7292

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	07/08/2007

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