Healthcare Provider Details

I. General information

NPI: 1437432234
Provider Name (Legal Business Name): SARHADDI PHARMACEUTICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2011
Last Update Date: 12/07/2022
Certification Date: 12/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 GATEWAY BLVD STE B2
FAIRFIELD CA
94533-6915
US

IV. Provider business mailing address

1330 GATEWAY BLVD SUITE B-2
FAIRFIELD CA
94533-6915
US

V. Phone/Fax

Practice location:
  • Phone: 707-442-0500
  • Fax: 707-442-0555
Mailing address:
  • Phone: 707-442-0500
  • Fax: 707-442-0555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number50683
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ALI SARHADDI
Title or Position: DIRECTOR
Credential: PHARM.D
Phone: 510-604-8287