is a Pharmacy in Fresno, California. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for is 1962514885. The last update date is .
's current location address is 4845 E Butler Ave, Fresno, California. You can contact this provider via phone number 5592553301 and fax number 5592552912. The mailing address for is 4845 E Butler Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4845 E Butler Ave, Fresno, California |
| Phone Number | 5592553301 |
| Fax Number | 5592552912 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1962514885 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4845 E Butler Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937275015 |
| Phone Number | 5592553301 |
| Fax Number | 5592552912 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PHY32411 |
|
Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PHA34110 | CA | -- | |
| 585325 | OTHER ID NUMBER-COMMERCIAL NUM |
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