Provider Demographics
NPI:1629799143
Name:RAMIREZ, JUAN ANTONIO JR (PHARMD)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:ANTONIO
Last Name:RAMIREZ
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8103 S CONGRESS AVE UNIT 1125
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-4007
Mailing Address - Country:US
Mailing Address - Phone:956-251-2363
Mailing Address - Fax:
Practice Address - Street 1:170 E WHITESTONE BLVD
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-1900
Practice Address - Country:US
Practice Address - Phone:512-259-5755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-05
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39558183700000X
TX72626183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No183700000XPharmacy Service ProvidersPharmacy Technician