Healthcare Provider Details

I. General information

NPI: 1568463040
Provider Name (Legal Business Name): ALCHEMY DISTRIBUTORS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26930 CHERRY HILLS BLVD
SUN CITY CA
92586-2505
US

IV. Provider business mailing address

26930 CHERRY HILLS BLVD
SUN CITY CA
92586-2505
US

V. Phone/Fax

Practice location:
  • Phone: 951-679-5531
  • Fax: 951-672-9692
Mailing address:
  • Phone: 951-679-5531
  • Fax: 951-672-9692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPHY435310
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY435310
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPHY435310
License Number StateCA

VIII. Authorized Official

Name: GREG ALSTON
Title or Position: CEO
Credential: PHARM D
Phone: 951-679-5531