Armanious assumed his current role in 2009. He oversees over 5,000 people. EVA Pharma has a presence in more than 70 countries across the world, including four facilities in Egypt and one in Saudi Arabia. In December 2023, EVA Pharma announced the groundbreaking of its Research & Manufacturing Complex in Sudair, Saudi Arabia, with an investment exceeding $120 million. In July 2024, the company opened a supplement facility “Limitless Naturals” in Egypt to produce supplements for both the domestic market and exports to over 13 countries worldwide. Armanious is also the vice-chairman of the Egyptian Pharmaceutical Industrial Chamber and a board member of the American Chamber of Commerce in Egypt.