Provider Demographics
NPI:1467972364
Name:MSA PHARMACEUTICAL SERVICES CORPORATION
Entity Type:Organization
Organization Name:MSA PHARMACEUTICAL SERVICES CORPORATION
Other - Org Name:AMY'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMAL
Authorized Official - Middle Name:L
Authorized Official - Last Name:FAHMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-686-0777
Mailing Address - Street 1:9720 WOODMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ARLETA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-6422
Mailing Address - Country:US
Mailing Address - Phone:818-686-0777
Mailing Address - Fax:818-686-0778
Practice Address - Street 1:9720 WOODMAN AVE
Practice Address - Street 2:
Practice Address - City:ARLETA
Practice Address - State:CA
Practice Address - Zip Code:91331
Practice Address - Country:US
Practice Address - Phone:818-686-0777
Practice Address - Fax:818-686-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY556623336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy