Shruthy Alex, RPH

Individual provider Active NPI Pharmacist · Milpitas, CA

NPI 1750870978 · NPPES record last updated May 2, 2018

Key facts

NPI
1750870978
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
77746 (CA)
Practice address
600 S Abel St Unit 425
Milpitas, CA 95035-8696
Phone
(408) 913-5115
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 77746 CA Yes

Addresses

Primary practice location

600 S Abel St Unit 425
Milpitas, CA 95035-8696

Mailing address

600 S Abel St Unit 425
Milpitas, CA 95035-8696
Phone (408) 913-5115

Other identifiers

IdentifierTypeStateIssuer
77746OtherCAPHARMACY

Other providers in Milpitas, CA

All providers in Milpitas, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.