Provider Demographics
NPI:1790052744
Name:RAMOS-DESIMONE, NOEMI (PHARMD, PHD)
Entity Type:Individual
Prefix:
First Name:NOEMI
Middle Name:
Last Name:RAMOS-DESIMONE
Suffix:
Gender:F
Credentials:PHARMD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 WARWICK AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02889-1020
Mailing Address - Country:US
Mailing Address - Phone:401-737-2913
Mailing Address - Fax:401-737-3369
Practice Address - Street 1:1560 WARWICK AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02889-1020
Practice Address - Country:US
Practice Address - Phone:401-737-2913
Practice Address - Fax:401-737-3369
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH04621183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist