Provider Demographics
NPI:1518562719
Name:ALSADI, ALA AHMAD (RPH)
Entity Type:Individual
Prefix:
First Name:ALA
Middle Name:AHMAD
Last Name:ALSADI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4111 OAKWOOD ROCK LN # ON
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2719
Mailing Address - Country:US
Mailing Address - Phone:832-715-8608
Mailing Address - Fax:
Practice Address - Street 1:12381 W BELLFORT ST
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-1312
Practice Address - Country:US
Practice Address - Phone:281-494-2120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45501183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist