Provider Demographics
NPI:1407252646
Name:ALARGA, ABDELRAHMAN H (RPH)
Entity Type:Individual
Prefix:
First Name:ABDELRAHMAN
Middle Name:H
Last Name:ALARGA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 WEST NORTH AVENUE
Mailing Address - Street 2:HAYAT PHARMACY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53502
Mailing Address - Country:US
Mailing Address - Phone:414-374-0000
Mailing Address - Fax:414-374-0001
Practice Address - Street 1:1919 W NORTH AVE.
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53205
Practice Address - Country:US
Practice Address - Phone:414-374-0000
Practice Address - Fax:414-374-0001
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17755-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist