Provider Demographics
NPI:1851947410
Name:MALHI PHARMACY INC
Entity Type:Organization
Organization Name:MALHI PHARMACY INC
Other - Org Name:FARMACIA MALHI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:PRUBJOT
Authorized Official - Middle Name:
Authorized Official - Last Name:MALHI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:209-277-2884
Mailing Address - Street 1:1620 CROWS LANDING RD STE H
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95358-5602
Mailing Address - Country:US
Mailing Address - Phone:209-537-9821
Mailing Address - Fax:209-409-8464
Practice Address - Street 1:1620 CROWS LANDING RD STE H
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95358-5602
Practice Address - Country:US
Practice Address - Phone:209-537-9821
Practice Address - Fax:209-409-8464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy