Provider Demographics
NPI:1427318344
Name:ALAMO PHARMACY INC
Entity type:Organization
Organization Name:ALAMO PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / PIC
Authorized Official - Prefix:
Authorized Official - First Name:WASSIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMANIOUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-723-3250
Mailing Address - Street 1:3695 ALAMO ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-2188
Mailing Address - Country:US
Mailing Address - Phone:805-306-1636
Mailing Address - Fax:805-306-1689
Practice Address - Street 1:3695 ALAMO ST STE 100
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2188
Practice Address - Country:US
Practice Address - Phone:805-306-1636
Practice Address - Fax:805-306-1689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-24
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY510533336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5645215OtherNCPDP PROVIDER IDENTIFICATION NUMBER