Provider Demographics
NPI:1760235196
Name:GAZALAH-DARZI, HALA JINAN (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:HALA
Middle Name:JINAN
Last Name:GAZALAH-DARZI
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:HALA
Other - Middle Name:JINAN
Other - Last Name:GAZALAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3749 AVOCADO BLVD
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-7301
Mailing Address - Country:US
Mailing Address - Phone:619-670-5335
Mailing Address - Fax:
Practice Address - Street 1:3749 AVOCADO BLVD
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-7301
Practice Address - Country:US
Practice Address - Phone:619-670-5335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH89333183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist