Provider Demographics
NPI:1487274460
Name:FOX DRUG OF TORRANCE, INC
Entity type:Organization
Organization Name:FOX DRUG OF TORRANCE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:SADEK
Authorized Official - Last Name:ATALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-328-7244
Mailing Address - Street 1:1327 EL PRADO AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-2716
Mailing Address - Country:US
Mailing Address - Phone:310-328-7244
Mailing Address - Fax:310-782-3519
Practice Address - Street 1:1327 EL PRADO AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-2716
Practice Address - Country:US
Practice Address - Phone:310-328-7244
Practice Address - Fax:310-782-3519
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOX DRUG OF TORRANCE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy