Provider Demographics
NPI:1912208885
Name:MEIZEL, BARRY (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:MEIZEL
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11000 GARDEN GROVE BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-1206
Mailing Address - Country:US
Mailing Address - Phone:741-741-7726
Mailing Address - Fax:714-741-7731
Practice Address - Street 1:11000 GARDEN GROVE BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1206
Practice Address - Country:US
Practice Address - Phone:741-741-7726
Practice Address - Fax:714-741-7731
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31936183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist