Healthcare Provider Details

I. General information

NPI: 1932032281
Provider Name (Legal Business Name): ARIA COMMUNITY HEALTH PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 E KINGS ST STE 1
AVENAL CA
93204-1503
US

IV. Provider business mailing address

148 E KINGS ST STE 1
AVENAL CA
93204-1503
US

V. Phone/Fax

Practice location:
  • Phone: 559-386-8865
  • Fax: 559-386-0550
Mailing address:
  • Phone: 559-386-8865
  • Fax: 559-386-0550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PAUL OLIVIER BROUSSARD
Title or Position: PHARMACY DIRECTOR
Credential: RPH
Phone: 559-925-8600