Provider Demographics
NPI:1114710035
Name:ALPHA CARE PHARMACY 002 PC
Entity type:Organization
Organization Name:ALPHA CARE PHARMACY 002 PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER, SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:GHASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRAWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-606-7083
Mailing Address - Street 1:15010 W WHITESBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:KERMAN
Mailing Address - State:CA
Mailing Address - Zip Code:93630-1030
Mailing Address - Country:US
Mailing Address - Phone:559-400-8883
Mailing Address - Fax:559-400-8883
Practice Address - Street 1:1710 ROBERTSON BLVD
Practice Address - Street 2:
Practice Address - City:CHOWCHILLA
Practice Address - State:CA
Practice Address - Zip Code:93610-9016
Practice Address - Country:US
Practice Address - Phone:818-606-7083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy