Healthcare Provider Details

I. General information

NPI: 1427112887
Provider Name (Legal Business Name): ALPHA PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 08/22/2020
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

10231A TOPANGA CANYON BLVD
CHATSWORTH CA
91311-2804
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number47112
License Number StateCA

VIII. Authorized Official

Name: MRS. NAGLAT ZAKY SEWILAM
Title or Position: PHARMACIST-N-CHARGE
Credential:
Phone: 818-772-7475