Basic Information
| Provider Information | |||||||||
| NPI: | 1699356071 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOWARD | ||||||||
| FirstName: | RAMENA | ||||||||
| MiddleName: | MEANS | ||||||||
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| Credential: | PHARMACIST | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2172 W NINE MILE RD # 189 | ||||||||
| Address2: | |||||||||
| City: | PENSACOLA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 325349413 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8502859046 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6670 MOBILE HWY | ||||||||
| Address2: | |||||||||
| City: | PENSACOLA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 325261265 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8504836175 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2021 | ||||||||
| LastUpdateDate: | 04/18/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | PS32132 | FL | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.