Provider Demographics
NPI:1518405984
Name:NYAGWACHI, ALFRED SR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:
Last Name:NYAGWACHI
Suffix:SR
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 1:2531 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2012
Mailing Address - Country:US
Mailing Address - Phone:661-337-7050
Mailing Address - Fax:661-337-7055
Practice Address - Street 1:2531 CHESTER AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2012
Practice Address - Country:US
Practice Address - Phone:661-337-7050
Practice Address - Fax:661-337-7055
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44314183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist