Provider Demographics
NPI:1003151713
Name:RAMOS, PORFIRIO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PORFIRIO
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1241
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93232-1241
Mailing Address - Country:US
Mailing Address - Phone:559-934-3647
Mailing Address - Fax:559-934-3909
Practice Address - Street 1:24511 W. JAYNE AVENUE
Practice Address - Street 2:COALINGA STATE HOSPITAL PHARMACY DEPARTMENT
Practice Address - City:COALINGA
Practice Address - State:CA
Practice Address - Zip Code:93210
Practice Address - Country:US
Practice Address - Phone:559-934-3647
Practice Address - Fax:559-934-3647
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA571051835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist