Provider Demographics
NPI:1447068366
Name:PHAI,INC.
Entity type:Organization
Organization Name:PHAI,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:IHAB
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:IHAB DOSS
Authorized Official - Phone:714-487-1362
Mailing Address - Street 1:3118 MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:MORRO BAY
Mailing Address - State:CA
Mailing Address - Zip Code:93442-1346
Mailing Address - Country:US
Mailing Address - Phone:805-303-3646
Mailing Address - Fax:714-795-6812
Practice Address - Street 1:3118 MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:MORRO BAY
Practice Address - State:CA
Practice Address - Zip Code:93442-1346
Practice Address - Country:US
Practice Address - Phone:805-303-3646
Practice Address - Fax:714-795-6812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy