Provider Demographics
NPI:1558588178
Name:RAMANNA, CARMEN MARIA
Entity Type:Individual
Prefix:MISS
First Name:CARMEN
Middle Name:MARIA
Last Name:RAMANNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 E RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:PA
Mailing Address - Zip Code:15027-1002
Mailing Address - Country:US
Mailing Address - Phone:724-869-5687
Mailing Address - Fax:
Practice Address - Street 1:100 7 FIELDS BLVD
Practice Address - Street 2:
Practice Address - City:SEVEN FIELDS
Practice Address - State:PA
Practice Address - Zip Code:16046-4345
Practice Address - Country:US
Practice Address - Phone:724-742-0909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist