Provider Demographics
NPI:1538979539
Name:ALBANA, NOORA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NOORA
Middle Name:
Last Name:ALBANA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11418 VIA RANCHO SAN DIEGO UNIT 69
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-5232
Mailing Address - Country:US
Mailing Address - Phone:619-569-0069
Mailing Address - Fax:
Practice Address - Street 1:645 SATURN BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-4732
Practice Address - Country:US
Practice Address - Phone:619-429-8932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90596183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist