Healthcare Provider Details

I. General information

NPI: 1831605799
Provider Name (Legal Business Name): LISA BINSIN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2017
Last Update Date: 12/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 COYLE AVE
CARMICHAEL CA
95608-0306
US

IV. Provider business mailing address

4950 HACKBERRY LN APT 54
SACRAMENTO CA
95841-4791
US

V. Phone/Fax

Practice location:
  • Phone: 916-537-5355
  • Fax:
Mailing address:
  • Phone: 909-569-8765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number70916
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: