Provider Demographics
NPI:1306441266
Name:RAMI, MARSIDA (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:MARSIDA
Middle Name:
Last Name:RAMI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:MARSIDA
Other - Middle Name:
Other - Last Name:RAMI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:79 LYNNFIELD ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-5201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:79 LYNNFIELD ST
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-5201
Practice Address - Country:US
Practice Address - Phone:978-531-6953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH27770183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist