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General NPI Number Information
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NPI Number | 1427318344
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Entity Type | Organization
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Legal Business Name | ALAMO PHARMACY INC
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Dates
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Enumeration Date | 05/24/2012
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 3695 ALAMO ST STE 100
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City | SIMI VALLEY
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State | CA
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Zip | 93063-2188
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Country | US
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Telephone | 805-306-1636
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Fax | 805-306-1689
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Provider Business Mailing Address
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Address Line | 3695 ALAMO ST STE 100
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City | SIMI VALLEY
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State | CA
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Zip | 93063-2188
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Country | US
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Telephone | 805-306-1636
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Fax | 805-306-1689
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Authorized Official
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Title or Position | OWNER / PIC
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Name | WASSIM ARMANIOUS
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Credential |
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Telephone | 818-723-3250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY51053
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License Number State | CA
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