Provider Demographics
NPI:1235254566
Name:HEMLY, AFAF
Entity Type:Individual
Prefix:MRS
First Name:AFAF
Middle Name:
Last Name:HEMLY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2572 W RUNYON PL
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-2272
Mailing Address - Country:US
Mailing Address - Phone:714-904-0306
Mailing Address - Fax:
Practice Address - Street 1:2572 W RUNYON PL
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-2272
Practice Address - Country:US
Practice Address - Phone:714-904-0306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH38600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist