Healthcare Provider Details

I. General information

NPI: 1992617534
Provider Name (Legal Business Name): SIMRANJIT KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 FOWLER AVE
CLOVIS CA
93611-2100
US

IV. Provider business mailing address

3100 FOWLER AVE
CLOVIS CA
93611-2100
US

V. Phone/Fax

Practice location:
  • Phone: 559-294-6730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: