Healthcare Provider Details

I. General information

NPI: 1992089577
Provider Name (Legal Business Name): STEVE DANIEL INOUYE PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2011
Last Update Date: 09/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1790 SHAW AVE
CLOVIS CA
93611-4093
US

IV. Provider business mailing address

1790 SHAW AVE
CLOVIS CA
93611-4093
US

V. Phone/Fax

Practice location:
  • Phone: 559-299-5823
  • Fax: 559-299-4926
Mailing address:
  • Phone: 559-299-5823
  • Fax: 559-299-4926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number32873
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: