MEDICARE: ALCHEMY PROFESSIONAL SERVICES CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	103459	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	103459	OTHER	CA	HMDR

General Provider Information

NPI Number	:	1801897384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALCHEMY PROFESSIONAL SERVICES CORP

Provider Business Mailing Address
First Line	:	26928 CHERRY HILLS BLVD
Second Line	:
City	:	SUN CITY
State	:	CA
Zip	:	92586-2505
Country	:	US
Telephone Number	:	951-679-6512
Fax Number	:	888-870-2519

Provider Business Practice Location Address
First Line	:	162 N SAN JACINTO ST
Second Line	:
City	:	HEMET
State	:	CA
Zip	:	92543-4450
Country	:	US
Telephone Number	:	951-658-2505
Fax Number	:	951-658-2460

Authorized Official
Title or Position	:	CEO
Name	:	GREG ALSTON
Credential	:	PHARM D
Telephone Number	:	951-679-6770

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	08/22/2020

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Directions to “ALCHEMY PROFESSIONAL SERVICES CORP ” Practice Location

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