Provider Demographics
NPI:1821400847
Name:ARMATO, PETER J JR (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:J
Last Name:ARMATO
Suffix:JR
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52527 PIAZZA RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:LA
Mailing Address - Zip Code:70443-2464
Mailing Address - Country:US
Mailing Address - Phone:985-748-7076
Mailing Address - Fax:985-748-7731
Practice Address - Street 1:52527 PIAZZA RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:LA
Practice Address - Zip Code:70443-2464
Practice Address - Country:US
Practice Address - Phone:985-748-7076
Practice Address - Fax:985-748-7731
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-25
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14639183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA335727OtherNABP