Provider Demographics
NPI:1164750493
Name:RAMIREZ, SANDRA OLGA (RPH)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:OLGA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 CULEBRA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-6005
Mailing Address - Country:US
Mailing Address - Phone:210-734-0805
Mailing Address - Fax:210-734-0630
Practice Address - Street 1:1106 CULEBRA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-6005
Practice Address - Country:US
Practice Address - Phone:210-734-0805
Practice Address - Fax:210-734-0630
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30726183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist