Provider Demographics
NPI:1790783447
Name:AAMH PHARMACEUTICAL INC
Entity Type:Organization
Organization Name:AAMH PHARMACEUTICAL INC
Other - Org Name:SEEBER'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:A
Authorized Official - Last Name:AWAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-525-3313
Mailing Address - Street 1:110 W HARVARD BLVD
Mailing Address - Street 2:#H
Mailing Address - City:SANTA PAULA
Mailing Address - State:CA
Mailing Address - Zip Code:93060-3874
Mailing Address - Country:US
Mailing Address - Phone:805-525-3313
Mailing Address - Fax:805-933-3706
Practice Address - Street 1:110 W HARVARD BLVD
Practice Address - Street 2:#H
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-3874
Practice Address - Country:US
Practice Address - Phone:805-525-3313
Practice Address - Fax:805-933-3706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY53440333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY 53440OtherBOARD OF PHARMACY RETAIL PERMIT
0520735OtherNCPDP
CAPHA451990Medicaid
CAPHA344950Medicaid