Provider Demographics
NPI:1578891883
Name:RAMOS, MARY A (BPHARM)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:A
Last Name:RAMOS
Suffix:
Gender:F
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LONE STAR PASS
Mailing Address - Street 2:BLDG 46
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78264-3638
Mailing Address - Country:US
Mailing Address - Phone:210-263-5775
Mailing Address - Fax:210-263-5776
Practice Address - Street 1:1 LONE STAR PASS
Practice Address - Street 2:BLDG 46
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78264-3638
Practice Address - Country:US
Practice Address - Phone:210-263-5775
Practice Address - Fax:210-263-5776
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27947183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist