Provider Demographics
NPI:1053361048
Name:READY PHARMACY
Entity type:Organization
Organization Name:READY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECHNICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ELISEO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:505-824-8211
Mailing Address - Street 1:111 W LISA DR
Mailing Address - Street 2:
Mailing Address - City:CHAPARRAL
Mailing Address - State:NM
Mailing Address - Zip Code:88081-7458
Mailing Address - Country:US
Mailing Address - Phone:505-824-8211
Mailing Address - Fax:505-824-8208
Practice Address - Street 1:111 W LISA DR
Practice Address - Street 2:
Practice Address - City:CHAPARRAL
Practice Address - State:NM
Practice Address - Zip Code:88081-7458
Practice Address - Country:US
Practice Address - Phone:575-824-8211
Practice Address - Fax:575-824-8208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM6446183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM3210034OtherNABP
NM61096Medicaid
NM3210034OtherNABP