Provider Demographics
NPI:1891455523
Name:SANCHEZ, ALBERTO
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ALBERTO
Other - Middle Name:
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPHT
Mailing Address - Street 1:265 LORI LN
Mailing Address - Street 2:
Mailing Address - City:SHAFTER
Mailing Address - State:CA
Mailing Address - Zip Code:93263-2786
Mailing Address - Country:US
Mailing Address - Phone:661-759-7921
Mailing Address - Fax:
Practice Address - Street 1:150 E LERDO HWY
Practice Address - Street 2:
Practice Address - City:SHAFTER
Practice Address - State:CA
Practice Address - Zip Code:93263-2702
Practice Address - Country:US
Practice Address - Phone:661-746-4991
Practice Address - Fax:661-746-5303
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-21
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CATHC148247183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Single Specialty