Healthcare Provider Details

I. General information

NPI: 1093322851
Provider Name (Legal Business Name): AL MANI HEALTH INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 09/25/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 NW 71ST CT STE 205A
TAMARAC FL
33321-2931
US

IV. Provider business mailing address

405 S RIVERSIDE DR
POMPANO BEACH FL
33062-5528
US

V. Phone/Fax

Practice location:
  • Phone: 443-381-9200
  • Fax: 954-747-1231
Mailing address:
  • Phone: 443-381-9200
  • Fax: 654-747-1231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. HALA ABDURAHMAN
Title or Position: PHARMACY MANAGER
Credential: PHARMD
Phone: 443-381-9200