Provider Demographics
NPI:1639655590
Name:ARGO, GABRIEL (PHRAMD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:
Last Name:ARGO
Suffix:
Gender:M
Credentials:PHRAMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:AL
Mailing Address - Zip Code:35952-0007
Mailing Address - Country:US
Mailing Address - Phone:205-589-6557
Mailing Address - Fax:205-589-6553
Practice Address - Street 1:7101 ETOWAH ST
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:AL
Practice Address - Zip Code:35952-8775
Practice Address - Country:US
Practice Address - Phone:205-589-6557
Practice Address - Fax:205-589-6553
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15567183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL15567OtherSTATE BOARD OF PHARMACY