Provider Demographics
NPI:1558084731
Name:GOSALIA, ALKA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALKA
Middle Name:
Last Name:GOSALIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SUNNY ISLES BLVD UNIT 2407
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-5644
Mailing Address - Country:US
Mailing Address - Phone:602-716-1401
Mailing Address - Fax:
Practice Address - Street 1:16850 COLLINS AVE
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4238
Practice Address - Country:US
Practice Address - Phone:305-945-4712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI061395183500000X
FLPS62828183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist