Dennis Amano

Individual provider Active NPI Pharmacist · Baldwin Park, CA

NPI 1114471653 · NPPES record last updated Aug 13, 2016

Key facts

NPI
1114471653
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH41015 (CA)
Practice address
1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone
(626) 851-5552
NPI assigned
Aug 13, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RPH41015CAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH41015 CA Yes

Addresses

Primary practice location

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806

Mailing address

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone (626) 851-5552

Other providers in Baldwin Park, CA

All providers in Baldwin Park, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.