Provider Demographics
NPI:1033443643
Name:ALGHABRA, MAHER (PHARMACIST)
Entity Type:Individual
Prefix:DR
First Name:MAHER
Middle Name:
Last Name:ALGHABRA
Suffix:
Gender:M
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:PO BOX 881661
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92168-1661
Mailing Address - Country:US
Mailing Address - Phone:619-559-0030
Mailing Address - Fax:
Practice Address - Street 1:170 TOWN CTR PKY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92070-1661
Practice Address - Country:US
Practice Address - Phone:619-559-0030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA444211835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist