Healthcare Provider Details

I. General information

NPI: 1295649390
Provider Name (Legal Business Name): HALA MOHAMED AHMED ALY ABUZIED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 COFFEE RD
BAKERSFIELD CA
93308-5032
US

IV. Provider business mailing address

8903 CATTLE ROCK DR
SHAFTER CA
93263-9310
US

V. Phone/Fax

Practice location:
  • Phone: 661-588-1060
  • Fax:
Mailing address:
  • Phone: 925-234-8788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPRH93114
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: