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NPI Code Detail

MEDICARE: DR. CARRIE KER VUE PHARMD

MEDICARE:  DR. CARRIE KER VUE  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist82047CA

General Provider Information

NPI Number : 1316552680
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARRIE KER VUE PHARMD
Provider Business Mailing Address
First Line : 2376 S WALLING AVE
Second Line :
City : FRESNO
State : CA
Zip : 93727-6354
Country : US
Telephone Number : 916-833-2958
Fax Number :
Provider Business Practice Location Address
First Line : 6010 N FIGARDEN DR
Second Line :
City : FRESNO
State : CA
Zip : 93722-7922
Country : US
Telephone Number : 559-271-4926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2020
Last Update Date : 09/13/2020

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Directions to “ DR. CARRIE KER VUE PHARMD” Practice Location

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