Provider Demographics
NPI:1740671163
Name:MARCOS, RAMY
Entity type:Individual
Prefix:
First Name:RAMY
Middle Name:
Last Name:MARCOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7131 N US HIGHWAY 441
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34475-1215
Mailing Address - Country:US
Mailing Address - Phone:352-351-2477
Mailing Address - Fax:352-351-4700
Practice Address - Street 1:7131 N US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34475-1215
Practice Address - Country:US
Practice Address - Phone:352-351-2477
Practice Address - Fax:352-351-4700
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40217183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist