Provider Demographics
NPI:1992472112
Name:GARRAMMONE, EZEQUIEL ADRIAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EZEQUIEL
Middle Name:ADRIAN
Last Name:GARRAMMONE
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 1:690 NW 57TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4815
Mailing Address - Country:US
Mailing Address - Phone:305-264-3485
Mailing Address - Fax:
Practice Address - Street 1:690 NW 57TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4815
Practice Address - Country:US
Practice Address - Phone:305-264-3485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS630761835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist