Provider Demographics
NPI:1942599931
Name:RAMASAMY, DURAI MURUGAN (BS(PHARM))
Entity Type:Individual
Prefix:MR
First Name:DURAI
Middle Name:MURUGAN
Last Name:RAMASAMY
Suffix:
Gender:M
Credentials:BS(PHARM)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10645 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40272-4349
Mailing Address - Country:US
Mailing Address - Phone:502-937-0303
Mailing Address - Fax:502-937-7107
Practice Address - Street 1:10645 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40272-4349
Practice Address - Country:US
Practice Address - Phone:502-937-0303
Practice Address - Fax:502-937-7107
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013969183500000X
IN26023516A183500000X
TN0000034113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist