Provider Demographics
NPI:1629501747
Name:ZAKY, ASHRAF (RPH)
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:
Last Name:ZAKY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 S BARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-3309
Mailing Address - Country:US
Mailing Address - Phone:310-351-9129
Mailing Address - Fax:310-472-9439
Practice Address - Street 1:134 S BARRINGTON AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-3309
Practice Address - Country:US
Practice Address - Phone:310-351-9129
Practice Address - Fax:310-472-9439
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH48538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist