MEDICARE: SHARMKEE INC

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
1	3336C0003X	Community/Retail Pharmacy	PHY13360	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0532603	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1770679672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARMKEE INC

Provider Business Mailing Address
First Line	:	PO BOX 457
Second Line	:
City	:	CARUTHERS
State	:	CA
Zip	:	93609-0457
Country	:	US
Telephone Number	:	559-237-0332
Fax Number	:

Provider Business Practice Location Address
First Line	:	5796 S ELM AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93706-5813
Country	:	US
Telephone Number	:	559-264-2965
Fax Number	:	559-264-3160

Authorized Official
Title or Position	:	OWNER
Name	:	DOUGLAS WILCOX
Credential	:
Telephone Number	:	559-696-6333

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	01/22/2013

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Directions to “SHARMKEE INC ” Practice Location

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