MEDICARE: DR. LUIS ALBERTO RAMOS 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	PH60156359	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PH60156359	OTHER	WA	PHARMACIST LICENSE

General Provider Information

NPI Number	:	1922106335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS ALBERTO RAMOS PHARMD

Provider Business Mailing Address
First Line	:	1001 BROADWAY
Second Line	:	SUITE #102
City	:	SEATTLE
State	:	WA
Zip	:	98122-4397
Country	:	US
Telephone Number	:	206-324-2335
Fax Number	:	206-324-2274

Provider Business Practice Location Address
First Line	:	1001 BROADWAY
Second Line	:	SUITE #102
City	:	SEATTLE
State	:	WA
Zip	:	98122-4397
Country	:	US
Telephone Number	:	206-324-2335
Fax Number	:	206-324-2274

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/29/2011

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