Provider Demographics
NPI:1093597957
Name:ALPHA CARE PHARMACY PC
Entity Type:Organization
Organization Name:ALPHA CARE PHARMACY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO - PIC
Authorized Official - Prefix:
Authorized Official - First Name:GHASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRAWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-360-8411
Mailing Address - Street 1:15010 W WHITESBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:KERMAN
Mailing Address - State:CA
Mailing Address - Zip Code:93630-1030
Mailing Address - Country:US
Mailing Address - Phone:559-400-8883
Mailing Address - Fax:855-571-3458
Practice Address - Street 1:15010 W WHITESBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:KERMAN
Practice Address - State:CA
Practice Address - Zip Code:93630-1030
Practice Address - Country:US
Practice Address - Phone:559-400-8883
Practice Address - Fax:855-571-3458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy