Provider Demographics
NPI:1518218635
Name:RAMOS, JOSHUA GARZON (RPH)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:GARZON
Last Name:RAMOS
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 1:1814 DAVID CT
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-1126
Mailing Address - Country:US
Mailing Address - Phone:213-804-8248
Mailing Address - Fax:
Practice Address - Street 1:1814 DAVID CT
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-1126
Practice Address - Country:US
Practice Address - Phone:213-804-8248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 67854183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist