Provider Demographics
NPI:1184985301
Name:MAYAN, RICHARD RAMON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:RAMON
Last Name:MAYAN
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 1:6050 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5042
Mailing Address - Country:US
Mailing Address - Phone:305-740-9720
Mailing Address - Fax:888-615-6637
Practice Address - Street 1:6050 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5042
Practice Address - Country:US
Practice Address - Phone:305-740-9720
Practice Address - Fax:888-615-6637
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44230183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist