Healthcare Provider Details

I. General information

NPI: 1518263003
Provider Name (Legal Business Name): AMA PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2011
Last Update Date: 05/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27453 HESPERIAN BLVD
HAYWARD CA
94545-4258
US

IV. Provider business mailing address

27453 HESPERIAN BLVD
HAYWARD CA
94545-4258
US

V. Phone/Fax

Practice location:
  • Phone: 510-782-6494
  • Fax: 510-782-6459
Mailing address:
  • Phone: 510-782-6494
  • Fax: 510-782-6459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number50539
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SUNIL PATEL
Title or Position: CEO
Credential:
Phone: 408-202-9125