Provider Demographics
NPI:1609356948
Name:ARMANIOS, MARIAN SALAH MAHANI (RPH)
Entity Type:Individual
Prefix:
First Name:MARIAN
Middle Name:SALAH MAHANI
Last Name:ARMANIOS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 VERONA AVE
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-1305
Mailing Address - Country:US
Mailing Address - Phone:909-689-6313
Mailing Address - Fax:
Practice Address - Street 1:130 VERONA AVE
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-1305
Practice Address - Country:US
Practice Address - Phone:909-689-6313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76940183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA76940OtherCA BOARD OF PHARMACY