Provider Demographics
NPI:1629355730
Name:RAMKOBAIR, VISHNU (PHARMD)
Entity Type:Individual
Prefix:
First Name:VISHNU
Middle Name:
Last Name:RAMKOBAIR
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 1:93 W CAMPBELL RD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-6800
Mailing Address - Country:US
Mailing Address - Phone:518-372-2256
Mailing Address - Fax:
Practice Address - Street 1:93 W CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306-6800
Practice Address - Country:US
Practice Address - Phone:518-372-2256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0558811835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy