MEDICARE: FADI RAMO RPH

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	S023194	AZ

General Provider Information

NPI Number	:	1801434519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FADI RAMO RPH

Provider Business Mailing Address
First Line	:	4657 E CHANDLER BLVD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-0424
Country	:	US
Telephone Number	:	480-598-6776
Fax Number	:

Provider Business Practice Location Address
First Line	:	4657 E CHANDLER BLVD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-0424
Country	:	US
Telephone Number	:	480-598-6776
Fax Number	:

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

Provider Enumeration Date	:	12/12/2019
Last Update Date	:	12/14/2019

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