Provider Demographics
NPI:1114636974
Name:AMA PHARMACY INC
Entity Type:Organization
Organization Name:AMA PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-202-9125
Mailing Address - Street 1:27453 HESPERIAN BLVD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-4258
Mailing Address - Country:US
Mailing Address - Phone:510-782-6494
Mailing Address - Fax:501-782-6459
Practice Address - Street 1:27453 HESPERIAN BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-4258
Practice Address - Country:US
Practice Address - Phone:510-782-6494
Practice Address - Fax:501-782-6459
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMA PHARMACY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy