Healthcare Provider Details

I. General information

NPI: 1891455523
Provider Name (Legal Business Name): ALBERTO SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ALBERTO SANCHEZ LPHT

II. Dates (important events)

Enumeration Date: 12/21/2021
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E LERDO HWY
SHAFTER CA
93263-2702
US

IV. Provider business mailing address

265 LORI LN
SHAFTER CA
93263-2786
US

V. Phone/Fax

Practice location:
  • Phone: 661-746-4991
  • Fax: 661-746-5303
Mailing address:
  • Phone: 661-759-7921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberTHC148247
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: