Provider Demographics
NPI:1891400446
Name:GHALCHI, NEGGY (PHARM D)
Entity Type:Individual
Prefix:
First Name:NEGGY
Middle Name:
Last Name:GHALCHI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 S BUNDY DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-4108
Mailing Address - Country:US
Mailing Address - Phone:424-310-8186
Mailing Address - Fax:
Practice Address - Street 1:16025 VENTURA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4466
Practice Address - Country:US
Practice Address - Phone:818-377-6900
Practice Address - Fax:818-377-9195
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82162183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist