Provider Demographics
NPI:1447434758
Name:SPALEK, VIOLA HELENA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VIOLA
Middle Name:HELENA
Last Name:SPALEK
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 1:4624 VESPER AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403
Mailing Address - Country:US
Mailing Address - Phone:818-788-1475
Mailing Address - Fax:
Practice Address - Street 1:21281 BURBANK BLVD B2
Practice Address - Street 2:
Practice Address - City:WOODLAND HILL
Practice Address - State:CA
Practice Address - Zip Code:91367
Practice Address - Country:US
Practice Address - Phone:818-676-6393
Practice Address - Fax:818-676-8641
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 48952183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist