Provider Demographics
NPI:1649940826
Name:SOLEIMANI, ALEXANDER (PHARM D)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:SOLEIMANI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6231 TUNNEY AVE
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-6566
Mailing Address - Country:US
Mailing Address - Phone:818-300-3476
Mailing Address - Fax:
Practice Address - Street 1:18020 CHATSWORTH ST
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-5607
Practice Address - Country:US
Practice Address - Phone:818-831-4152
Practice Address - Fax:818-831-1465
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85152183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist