Healthcare Provider Details

I. General information

NPI: 1801897384
Provider Name (Legal Business Name): ALCHEMY PROFESSIONAL SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 N SAN JACINTO ST
HEMET CA
92543-4450
US

IV. Provider business mailing address

26928 CHERRY HILLS BLVD
SUN CITY CA
92586-2505
US

V. Phone/Fax

Practice location:
  • Phone: 951-658-2505
  • Fax: 951-658-2460
Mailing address:
  • Phone: 951-679-6512
  • Fax: 888-870-2519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number103459
License Number StateCA

VIII. Authorized Official

Name: GREG ALSTON
Title or Position: CEO
Credential: PHARM D
Phone: 951-679-6770