Provider Demographics
NPI:1669936183
Name:NEW LEAF PHARMACY INC
Entity type:Organization
Organization Name:NEW LEAF PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER/PHARMACIST-
Authorized Official - Prefix:MR
Authorized Official - First Name:BASSEM
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSIHA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:626-502-3994
Mailing Address - Street 1:4406 ROOT WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311
Mailing Address - Country:US
Mailing Address - Phone:661-885-9707
Mailing Address - Fax:
Practice Address - Street 1:2303 S UNION AVE UNIT E8
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93307
Practice Address - Country:US
Practice Address - Phone:661-885-9707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy