Provider Demographics
NPI:1417467689
Name:RAMIREZ, MELISSA AILEEN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:AILEEN
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11152 SW 100TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-3467
Mailing Address - Country:US
Mailing Address - Phone:305-801-7820
Mailing Address - Fax:
Practice Address - Street 1:11152 SW 100TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-3467
Practice Address - Country:US
Practice Address - Phone:305-597-8291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS57074183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist