Provider Demographics
NPI:1861762932
Name:OGUAMANAM, ALEXANDER A (RPH)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:A
Last Name:OGUAMANAM
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10600 MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-1221
Mailing Address - Country:US
Mailing Address - Phone:915-591-4655
Mailing Address - Fax:915-599-1518
Practice Address - Street 1:10600 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-1221
Practice Address - Country:US
Practice Address - Phone:915-591-4655
Practice Address - Fax:915-599-1518
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50623183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist