Healthcare Provider Details

I. General information

NPI: 1063342913
Provider Name (Legal Business Name): BLUE ZONE RX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 JAMACHA RD
EL CAJON CA
92019-3202
US

IV. Provider business mailing address

755 JAMACHA RD
EL CAJON CA
92019-3202
US

V. Phone/Fax

Practice location:
  • Phone: 619-499-7841
  • Fax: 619-312-1168
Mailing address:
  • Phone: 619-499-7841
  • Fax: 619-312-1168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: FARAH ALAZIZ
Title or Position: PHARMACIST IN CHARGE
Credential: RPH
Phone: 619-499-7841