Provider Demographics
NPI:1154992527
Name:RAMIREZ, CAMILLE (PHARMD, BCGP, RPH)
Entity type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PHARMD, BCGP, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 THANNISCH DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-4846
Mailing Address - Country:US
Mailing Address - Phone:817-729-2540
Mailing Address - Fax:
Practice Address - Street 1:1118 THANNISCH DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-4846
Practice Address - Country:US
Practice Address - Phone:817-729-2540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX434421835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric