Provider Demographics
NPI:1528493095
Name:ALIEVA, YUDIF (PHARMD)
Entity type:Individual
Prefix:DR
First Name:YUDIF
Middle Name:
Last Name:ALIEVA
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 1:6841 COLDWATER CANYON AVE
Mailing Address - Street 2:14
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-5141
Mailing Address - Country:US
Mailing Address - Phone:818-231-0976
Mailing Address - Fax:
Practice Address - Street 1:6841 COLDWATER CANYON AVE
Practice Address - Street 2:14
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-5141
Practice Address - Country:US
Practice Address - Phone:818-231-0976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist