Provider Demographics
NPI:1922454941
Name:RIZKALLA, FEBY (RPH)
Entity Type:Individual
Prefix:
First Name:FEBY
Middle Name:
Last Name:RIZKALLA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 RANSFORD AVE
Mailing Address - Street 2:APT 5
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-5130
Mailing Address - Country:US
Mailing Address - Phone:831-402-5113
Mailing Address - Fax:
Practice Address - Street 1:2740 RANSFORD AVE
Practice Address - Street 2:APT 5
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950-5130
Practice Address - Country:US
Practice Address - Phone:831-402-5113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74550183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist