Healthcare Provider Details

I. General information

NPI: 1124834569
Provider Name (Legal Business Name): TAWNI MICHELLE STRAW PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5420 DEWEY DR
FAIR OAKS CA
95628-3138
US

IV. Provider business mailing address

6316 WALNUT AVE
ORANGEVALE CA
95662-4226
US

V. Phone/Fax

Practice location:
  • Phone: 916-864-4803
  • Fax:
Mailing address:
  • Phone: 916-846-0046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number90393
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: