Healthcare Provider Details

I. General information

NPI: 1033273495
Provider Name (Legal Business Name): NAGLAT ZAKY SEWILAM PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10231A TOPANGA CANYON BLVD
CHATSWORTH CA
91311-2804
US

IV. Provider business mailing address

5603 SEA VIEW DR
MALIBU CA
90265-3746
US

V. Phone/Fax

Practice location:
  • Phone: 818-772-7475
  • Fax: 818-772-8163
Mailing address:
  • Phone: 310-589-2571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 47112
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: