Provider Demographics
NPI:1376050674
Name:AMN PHARMACY LLC
Entity Type:Organization
Organization Name:AMN PHARMACY LLC
Other - Org Name:SOLAR HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHCY DIR, AO
Authorized Official - Prefix:MR
Authorized Official - First Name:AEMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLAM
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, MBA
Authorized Official - Phone:469-235-4515
Mailing Address - Street 1:PO BOX 54011
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-4011
Mailing Address - Country:US
Mailing Address - Phone:972-232-2326
Mailing Address - Fax:972-232-7956
Practice Address - Street 1:5520 LBJ FWY STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6381
Practice Address - Country:US
Practice Address - Phone:972-232-2326
Practice Address - Fax:972-232-7956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-08
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX317723336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2175362OtherPK