Provider Demographics
NPI:1033273495
Name:SEWILAM, NAGLAT ZAKY (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:NAGLAT
Middle Name:ZAKY
Last Name:SEWILAM
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5603 SEA VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-3746
Mailing Address - Country:US
Mailing Address - Phone:310-589-2571
Mailing Address - Fax:
Practice Address - Street 1:10231A TOPANGA CANYON BLVD
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-2804
Practice Address - Country:US
Practice Address - Phone:818-772-7475
Practice Address - Fax:818-772-8163
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 47112183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist