Provider Demographics
NPI:1831415942
Name:NATIONAL SPECIALTY PHARMACY ADMINISTRATORS
Entity type:Organization
Organization Name:NATIONAL SPECIALTY PHARMACY ADMINISTRATORS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKHAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:866-298-1130
Mailing Address - Street 1:24747 REDLANDS BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-4026
Mailing Address - Country:US
Mailing Address - Phone:866-298-1130
Mailing Address - Fax:866-567-4210
Practice Address - Street 1:24747 REDLANDS BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-4026
Practice Address - Country:US
Practice Address - Phone:866-298-1130
Practice Address - Fax:866-567-4210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management