Healthcare Provider Details

I. General information

NPI: 1992235402
Provider Name (Legal Business Name): FRAZIER HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2017
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3544 MOUNT PINOS WAY
FRAZIER PARK CA
93225
US

IV. Provider business mailing address

PO BOX 9008
BAKERSFIELD CA
93389-9008
US

V. Phone/Fax

Practice location:
  • Phone: 661-245-1660
  • Fax: 661-245-1664
Mailing address:
  • Phone: 661-245-1660
  • Fax: 661-245-1664

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: SACHIN BRAHMBHATT
Title or Position: PIC
Credential: RPH
Phone: 661-245-1660