Provider Demographics
NPI:1285442418
Name:RAMOS-GOODWIN, ISMENIA (PHARMD, CPH)
Entity type:Individual
Prefix:DR
First Name:ISMENIA
Middle Name:
Last Name:RAMOS-GOODWIN
Suffix:
Gender:F
Credentials:PHARMD, CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 CREST ST
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-8058
Mailing Address - Country:US
Mailing Address - Phone:907-463-0600
Mailing Address - Fax:
Practice Address - Street 1:1720 CREST ST
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8058
Practice Address - Country:US
Practice Address - Phone:907-463-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37577183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist