Organization
ALAMO PHARMACY INC
Active
Other names
Alamo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WASSIM ARMANIOUS (OWNER / PIC)
(818) 723-3250
Entity
Organization
Contact information
Practice address
3695 ALAMO ST STE 100, SIMI VALLEY, CA 93063-2188
(805) 306-1636
(805) 306-1689
Mailing address
3695 ALAMO ST STE 100, SIMI VALLEY, CA 93063-2188
(805) 306-1636
(805) 306-1689
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY51053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5645215
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/24/2012
Last updated
03/18/2013
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