Provider Demographics
NPI:1780772590
Name:RAMIREZ, KATE LEEDS (RPH,PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATE
Middle Name:LEEDS
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:RPH,PHARMD
Other - Prefix:DR
Other - First Name:KATE
Other - Middle Name:LEEDS
Other - Last Name:PICKERING-RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:PO BOX 20330
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82003-7033
Mailing Address - Country:US
Mailing Address - Phone:307-778-7550
Mailing Address - Fax:
Practice Address - Street 1:5353 YELLOWSTONE RD # 309
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-4178
Practice Address - Country:US
Practice Address - Phone:307-778-7550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17451183500000X
WY3019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist