Provider Demographics
NPI:1689096133
Name:ALPHA MEDICAL HEALTH INC
Entity Type:Organization
Organization Name:ALPHA MEDICAL HEALTH INC
Other - Org Name:ALPHA MEDICAL PHARMACY III
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ETHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:626-818-5338
Mailing Address - Street 1:401 N GARFIELD AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1207
Mailing Address - Country:US
Mailing Address - Phone:626-872-0505
Mailing Address - Fax:626-872-2522
Practice Address - Street 1:401 N GARFIELD AVE STE 101
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1207
Practice Address - Country:US
Practice Address - Phone:626-872-0505
Practice Address - Fax:626-872-2522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-16
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy