Provider Demographics
NPI:1417364241
Name:ARMANIOUS, CAROLINE GEORGE EDWARD (RPH, PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:GEORGE EDWARD
Last Name:ARMANIOUS
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12186 BISQUE DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-2641
Mailing Address - Country:US
Mailing Address - Phone:909-803-8719
Mailing Address - Fax:
Practice Address - Street 1:12186 BISQUE DR
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-2649
Practice Address - Country:US
Practice Address - Phone:909-803-8719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58607183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist