Provider Demographics
NPI:1316541519
Name:RAMIREZ, LEAH (PHARMD)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 LAKE CAROLYN PKWY APT 308
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-4642
Mailing Address - Country:US
Mailing Address - Phone:972-415-9784
Mailing Address - Fax:
Practice Address - Street 1:8000 DENTON HWY
Practice Address - Street 2:
Practice Address - City:WATAUGA
Practice Address - State:TX
Practice Address - Zip Code:76148-2464
Practice Address - Country:US
Practice Address - Phone:817-427-1099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-28
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist