Provider Demographics
NPI:1093322851
Name:AL MANI HEALTH INSTITUTE
Entity Type:Organization
Organization Name:AL MANI HEALTH INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:HALA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDURAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:443-381-9200
Mailing Address - Street 1:405 S RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-5528
Mailing Address - Country:US
Mailing Address - Phone:443-381-9200
Mailing Address - Fax:654-747-1231
Practice Address - Street 1:7710 NW 71ST CT STE 205A
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2931
Practice Address - Country:US
Practice Address - Phone:443-381-9200
Practice Address - Fax:954-747-1231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy