Provider Demographics
NPI:1447647045
Name:AMIHYIA, AMMA BUSUMAFI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMMA
Middle Name:BUSUMAFI
Last Name:AMIHYIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7229 OJAI DR
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-4712
Mailing Address - Country:US
Mailing Address - Phone:760-373-9279
Mailing Address - Fax:760-373-5271
Practice Address - Street 1:9160 CALIFORNIA CITY BLVD
Practice Address - Street 2:
Practice Address - City:CALIFORNIA CITY
Practice Address - State:CALIFORNIA
Practice Address - Zip Code:93505
Practice Address - Country:UM
Practice Address - Phone:760-373-9279
Practice Address - Fax:760-373-5271
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH46340183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist