Healthcare Provider Details

I. General information

NPI: 1376053850
Provider Name (Legal Business Name): ZOHAS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2017
Last Update Date: 06/13/2022
Certification Date: 06/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 34TH ST
BAKERSFIELD CA
93301-2208
US

IV. Provider business mailing address

616 34TH ST
BAKERSFIELD CA
93301-2208
US

V. Phone/Fax

Practice location:
  • Phone: 661-293-7979
  • Fax: 661-293-7980
Mailing address:
  • Phone: 661-293-7979
  • Fax: 661-293-7980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY55638
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. ZOHA IRFAN KHEIRI
Title or Position: CEO
Credential: RPH
Phone: 661-293-7979