Healthcare Provider Details

I. General information

NPI: 1841823853
Provider Name (Legal Business Name): CHRISTOPHER LARIOS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2020
Last Update Date: 02/18/2020
Certification Date: 02/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2133 SHAW AVE
CLOVIS CA
93611-8937
US

IV. Provider business mailing address

2133 SHAW AVE
CLOVIS CA
93611-8937
US

V. Phone/Fax

Practice location:
  • Phone: 559-297-6730
  • Fax:
Mailing address:
  • Phone: 559-297-6730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number82079
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: