Provider Demographics
NPI:1932514536
Name:ZOUEN, MAGDY M (RPH)
Entity Type:Individual
Prefix:
First Name:MAGDY
Middle Name:M
Last Name:ZOUEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:MIKEY
Other - Middle Name:M
Other - Last Name:ZOUEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:18764 DYLAN ST
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-2158
Mailing Address - Country:US
Mailing Address - Phone:818-437-7445
Mailing Address - Fax:
Practice Address - Street 1:18764 DYLAN ST
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-2158
Practice Address - Country:US
Practice Address - Phone:818-437-7445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40732183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist