Provider Demographics
NPI:1215020540
Name:ZAHER PHARMACY&MED
Entity Type:Organization
Organization Name:ZAHER PHARMACY&MED
Other - Org Name:NOFEL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RPH
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOFEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-623-9171
Mailing Address - Street 1:215 EAST 7TH ST. UNIT#A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90014-2303
Mailing Address - Country:US
Mailing Address - Phone:213-623-9171
Mailing Address - Fax:213-623-1030
Practice Address - Street 1:215 EAST 7TH ST. UNIT #A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90014
Practice Address - Country:US
Practice Address - Phone:213-623-9171
Practice Address - Fax:213-623-1030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-30
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHA36389183500000X
CAPHY459923336C0003X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
No3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY227750Medicaid