Provider Demographics
NPI:1225528102
Name:AM PHARMACY INC
Entity Type:Organization
Organization Name:AM PHARMACY INC
Other - Org Name:AM PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-254-6911
Mailing Address - Street 1:16330 WALNUT ST STE 4
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-3623
Mailing Address - Country:US
Mailing Address - Phone:760-232-6628
Mailing Address - Fax:760-232-6629
Practice Address - Street 1:16330 WALNUT ST STE 4
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-3623
Practice Address - Country:US
Practice Address - Phone:760-205-2120
Practice Address - Fax:760-232-6629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-16
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2177701OtherPK