Provider Demographics
NPI:1053054296
Name:APPLE SPECIALTY PHARMACY, LLC
Entity type:Organization
Organization Name:APPLE SPECIALTY PHARMACY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHAHROKH
Authorized Official - Middle Name:SHAWN
Authorized Official - Last Name:AHOUBIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-456-0481
Mailing Address - Street 1:1211 N. BROADWAY
Mailing Address - Street 2:STE. 300
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701
Mailing Address - Country:US
Mailing Address - Phone:818-456-0481
Mailing Address - Fax:530-698-0991
Practice Address - Street 1:1211 N. BROADWAY
Practice Address - Street 2:STE. 300
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701
Practice Address - Country:US
Practice Address - Phone:818-456-0481
Practice Address - Fax:530-698-0991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-15
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy