Healthcare Provider Details

I. General information

NPI: 1255986725
Provider Name (Legal Business Name): NANCY GIRGIS DORFMEYER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NANCY GIRGIS

II. Dates (important events)

Enumeration Date: 08/01/2019
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10181 RESEDA BLVD
NORTHRIDGE CA
91324-1454
US

IV. Provider business mailing address

10181 RESEDA BLVD
NORTHRIDGE CA
91324-1454
US

V. Phone/Fax

Practice location:
  • Phone: 818-993-4125
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number70368
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: