Provider Demographics
NPI:1023618824
Name:ALPHA PHARMA INC
Entity type:Organization
Organization Name:ALPHA PHARMA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINA
Authorized Official - Middle Name:GAMIL
Authorized Official - Last Name:MEGALLAA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:661-404-5767
Mailing Address - Street 1:1115 UNION AVE UNIT 147-1C
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93307-1050
Mailing Address - Country:US
Mailing Address - Phone:661-342-1643
Mailing Address - Fax:
Practice Address - Street 1:1115 UNION AVE UNIT 147-1C
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93307-1050
Practice Address - Country:US
Practice Address - Phone:661-342-1643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy