Provider Demographics
NPI:1033433305
Name:RAMER, DANIEL J (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:J
Last Name:RAMER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 S. HILL ST.
Mailing Address - Street 2:PO BOX 503
Mailing Address - City:FOUNTAIN CITY
Mailing Address - State:WI
Mailing Address - Zip Code:54629
Mailing Address - Country:US
Mailing Address - Phone:608-687-6002
Mailing Address - Fax:507-457-9471
Practice Address - Street 1:130 S. HILL ST.
Practice Address - Street 2:
Practice Address - City:FOUNTAIN CITY
Practice Address - State:WI
Practice Address - Zip Code:54629
Practice Address - Country:US
Practice Address - Phone:608-687-6002
Practice Address - Fax:507-457-9471
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14811-040183500000X
MN114248183500000X
SC6318183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist