MEDICARE: MARK ARMANIOUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	070437	NY
2	183500000X	Pharmacist	87439	CA

General Provider Information

NPI Number	:	1295447068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK ARMANIOUS

Provider Business Mailing Address
First Line	:	3630 SAN PABLO DAM RD
Second Line	:
City	:	EL SOBRANTE
State	:	CA
Zip	:	94803-2730
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3630 SAN PABLO DAM RD
Second Line	:
City	:	EL SOBRANTE
State	:	CA
Zip	:	94803-2730
Country	:	US
Telephone Number	:	510-797-2772
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2022
Last Update Date	:	07/01/2025

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Directions to “ MARK ARMANIOUS ” Practice Location

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