Provider Demographics
NPI:1366018368
Name:GAZALA, UZY (PHARMD)
Entity Type:Individual
Prefix:
First Name:UZY
Middle Name:
Last Name:GAZALA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-5867
Mailing Address - Country:US
Mailing Address - Phone:702-873-7171
Mailing Address - Fax:702-873-9860
Practice Address - Street 1:3550 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-5867
Practice Address - Country:US
Practice Address - Phone:702-873-7171
Practice Address - Fax:702-873-9860
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15044183500000X
CA52487183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist