Healthcare Provider Details

I. General information

NPI: 1437308780
Provider Name (Legal Business Name): DARREN LEW PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2008
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W SHAW AVE STE 114
CLOVIS CA
93612-3680
US

IV. Provider business mailing address

195 W SHAW AVE STE 101A
CLOVIS CA
93612-3700
US

V. Phone/Fax

Practice location:
  • Phone: 559-297-0251
  • Fax: 559-297-4251
Mailing address:
  • Phone: 559-297-0251
  • Fax: 559-297-4251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number49634
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH49634
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: