Provider Demographics
NPI:1578824793
Name:GIRGISRAMYRX, RAMY (RPH)
Entity Type:Individual
Prefix:
First Name:RAMY
Middle Name:
Last Name:GIRGISRAMYRX
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 1:14436 NW 83RD PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5718
Mailing Address - Country:US
Mailing Address - Phone:305-987-3422
Mailing Address - Fax:
Practice Address - Street 1:14436 NW 83RD PL
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5718
Practice Address - Country:US
Practice Address - Phone:305-987-3422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35544183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist