Healthcare Provider Details

I. General information

NPI: 1295296390
Provider Name (Legal Business Name): AL SHAAFI, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17530 HAWTHORNE BLVD
TORRANCE CA
90504-3110
US

IV. Provider business mailing address

17530 HAWTHORNE BLVD
TORRANCE CA
90504-3110
US

V. Phone/Fax

Practice location:
  • Phone: 310-921-8356
  • Fax:
Mailing address:
  • Phone: 310-921-8356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ASIF PERVAIZ
Title or Position: CEO/CFO/SEC,/DIR.
Credential:
Phone: 310-921-8356