Healthcare Provider Details

I. General information

NPI: 1578979969
Provider Name (Legal Business Name): ARMANYOUS HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 12/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3695 ALAMO ST STE 100
SIMI VALLEY CA
93063-2188
US

IV. Provider business mailing address

3695 ALAMO ST STE 100
SIMI VALLEY CA
93063-2188
US

V. Phone/Fax

Practice location:
  • Phone: 805-306-1636
  • Fax: 805-306-1689
Mailing address:
  • Phone: 805-306-1636
  • Fax: 805-306-1689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY 51901
License Number StateCA

VIII. Authorized Official

Name: MR. AFIFI G. ARMANYOUS
Title or Position: PRESIDENT/PIC
Credential: RPH
Phone: 805-306-1636