Healthcare Provider Details

I. General information

NPI: 1346888070
Provider Name (Legal Business Name): AYA ZEYAD ALWAHIB PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2019
Last Update Date: 12/12/2019
Certification Date: 12/12/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 N GRAND AVE
GLENDORA CA
91741-2434
US

IV. Provider business mailing address

130 N GRAND AVE
GLENDORA CA
91741-2434
US

V. Phone/Fax

Practice location:
  • Phone: 626-963-0385
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number81293
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: