Provider Demographics
NPI:1679275200
Name:RAMIREZ, AILYNN L (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:AILYNN
Middle Name:L
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:789 GREEN VALLEY RD SPC 114
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-1237
Mailing Address - Country:US
Mailing Address - Phone:408-502-0399
Mailing Address - Fax:
Practice Address - Street 1:80 RANCHO DEL MAR
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3901
Practice Address - Country:US
Practice Address - Phone:831-688-6417
Practice Address - Fax:831-688-5563
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190467183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician