Healthcare Provider Details

I. General information

NPI: 1033263991
Provider Name (Legal Business Name): ALETA HARVEY X PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10781 PEORIA RD
BROWNS VALLEY CA
95918-0355
US

IV. Provider business mailing address

PO BOX 355
BROWNS VALLEY CA
95918-0355
US

V. Phone/Fax

Practice location:
  • Phone: 530-713-4310
  • Fax: 530-743-9330
Mailing address:
  • Phone: 530-713-4310
  • Fax: 530-743-9330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRPH 36113
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: