Provider Demographics
NPI:1942742580
Name:GEWIDA, RAMY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RAMY
Middle Name:
Last Name:GEWIDA
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 1:9601 MARKET PL
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-7949
Mailing Address - Country:US
Mailing Address - Phone:425-397-8944
Mailing Address - Fax:
Practice Address - Street 1:9601 MARKET PL
Practice Address - Street 2:
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-7949
Practice Address - Country:US
Practice Address - Phone:425-397-8944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-14
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60602884390200000X
WAPH60968583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No183500000XPharmacy Service ProvidersPharmacist