Provider Demographics
NPI:1023612942
Name:ARMOON, OMID (DOCTORATE OF PHARMAC)
Entity type:Individual
Prefix:DR
First Name:OMID
Middle Name:
Last Name:ARMOON
Suffix:
Gender:M
Credentials:DOCTORATE OF PHARMAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6908
Mailing Address - Country:US
Mailing Address - Phone:941-955-3328
Mailing Address - Fax:941-365-7993
Practice Address - Street 1:3800 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6908
Practice Address - Country:US
Practice Address - Phone:941-955-3328
Practice Address - Fax:941-365-7993
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS56486183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist