Healthcare Provider Details

I. General information

NPI: 1215020540
Provider Name (Legal Business Name): ZAHER PHARMACY&MED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 01/09/2020
Certification Date: 01/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 EAST 7TH ST. UNIT #A
LOS ANGELES CA
90014
US

IV. Provider business mailing address

215 EAST 7TH ST. UNIT#A
LOS ANGELES CA
90014-2303
US

V. Phone/Fax

Practice location:
  • Phone: 213-623-9171
  • Fax: 213-623-1030
Mailing address:
  • Phone: 213-623-9171
  • Fax: 213-623-1030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA36389
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY45992
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ABDUL NOFEL
Title or Position: RPH
Credential:
Phone: 213-623-9171