Provider Demographics
NPI:1205431939
Name:RAMIREZ, ALEXANDRO (PHARMD)
Entity type:Individual
Prefix:
First Name:ALEXANDRO
Middle Name:
Last Name:RAMIREZ
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 1:1099 BOULEVARD SE # 4204
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-3809
Mailing Address - Country:US
Mailing Address - Phone:904-716-2852
Mailing Address - Fax:
Practice Address - Street 1:2700 NE EXPY NE STE B800
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-1828
Practice Address - Country:US
Practice Address - Phone:404-367-9111
Practice Address - Fax:404-367-9199
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH032241183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist