Provider Demographics
NPI:1548573157
Name:RAMON, RICARDO (PHARMD)
Entity Type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:RAMON
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 1:19950 HUEBNER RD APT 1304
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3298
Mailing Address - Country:US
Mailing Address - Phone:956-337-6677
Mailing Address - Fax:
Practice Address - Street 1:6000 WEST AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-2714
Practice Address - Country:US
Practice Address - Phone:210-341-3875
Practice Address - Fax:210-344-1887
Is Sole Proprietor?:No
Enumeration Date:2010-07-24
Last Update Date:2010-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist