Provider Demographics
NPI:1700410107
Name:AFH ENTERPRISE
Entity Type:Organization
Organization Name:AFH ENTERPRISE
Other - Org Name:DBA: DK HOMECARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FADY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAFEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-471-2841
Mailing Address - Street 1:10300 FOURTH ST. STE #130 RANCHO CUCAMONGA, CA 91730
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730
Mailing Address - Country:US
Mailing Address - Phone:909-320-2011
Mailing Address - Fax:909-320-2012
Practice Address - Street 1:10300 FOURTH ST. STE #130
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730
Practice Address - Country:US
Practice Address - Phone:909-320-2011
Practice Address - Fax:909-320-2012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-25
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy