Provider Demographics
NPI:1437245065
Name:BHARATSINH J ZALA
Entity Type:Organization
Organization Name:BHARATSINH J ZALA
Other - Org Name:WEST ALONDRA MEDICAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:BJ
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-631-8674
Mailing Address - Street 1:1410 W ALONDRA BLVD
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90220-3533
Mailing Address - Country:US
Mailing Address - Phone:310-631-8674
Mailing Address - Fax:310-631-8673
Practice Address - Street 1:1410 W ALONDRA BLVD
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-3533
Practice Address - Country:US
Practice Address - Phone:310-631-8674
Practice Address - Fax:310-631-8673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CAPHY415693336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2000512OtherPK
CAPHA415690Medicaid