Provider Demographics
NPI:1326561002
Name:RAMSOOK, SHASTRI RYAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHASTRI
Middle Name:RYAN
Last Name:RAMSOOK
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 1:3891 MARIETTA WAY
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34772-8716
Mailing Address - Country:US
Mailing Address - Phone:407-716-1794
Mailing Address - Fax:
Practice Address - Street 1:3891 MARIETTA WAY
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34772-8716
Practice Address - Country:US
Practice Address - Phone:407-716-1794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS56580183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS56580OtherFLORIDA BOARD OF PHARMACY