Healthcare Provider Details

I. General information

NPI: 1447654835
Provider Name (Legal Business Name): ARSANY IBRAHIM PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1159 N CITADEL AVE
CLOVIS CA
93611-6766
US

IV. Provider business mailing address

1159 N CITADEL AVE
CLOVIS CA
93611-6766
US

V. Phone/Fax

Practice location:
  • Phone: 779-348-4922
  • Fax:
Mailing address:
  • Phone: 779-348-4922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number86689
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051297601
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: