MEDICARE: MR. SAYED N ALLY RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	57447	CA

General Provider Information

NPI Number	:	1477025484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SAYED N ALLY RPH

Provider Business Mailing Address
First Line	:	11160 ROBIN PARK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-7598
Country	:	US
Telephone Number	:	714-213-5930
Fax Number	:	760-922-6706

Provider Business Practice Location Address
First Line	:	616 E HOBSONWAY
Second Line	:
City	:	BLYTHE
State	:	CA
Zip	:	92225-1739
Country	:	US
Telephone Number	:	760-922-9867
Fax Number	:	760-922-6706

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2019
Last Update Date	:	01/02/2019

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Directions to “ MR. SAYED N ALLY RPH” Practice Location

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