Organization
ALAMO PHARMACY INC
Active
Other names
TMC#4
Organization subpart
No
Provider details
NPI number
Authorized official
WASSIM ARMANIOUS (OWNER)
(323) 249-0360
Entity
Organization
Contact information
Practice address
4476 TWEEDY BLVD, SOUTH GATE, CA 90280-6359
(323) 249-0360
Mailing address
4476 TWEEDY BLVD, SOUTH GATE, CA 90280-6359
(323) 249-0360
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 54527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5654276
NCPDP
—
Enumeration date
02/20/2015
Last updated
02/22/2017
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