Healthcare Provider Details

I. General information

NPI: 1184167520
Provider Name (Legal Business Name): MATTHEW PALIUGHI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2016
Last Update Date: 12/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6121 N THESTA ST STE 204
FRESNO CA
93710-8603
US

IV. Provider business mailing address

6121 N THESTA ST STE 204
FRESNO CA
93710-8603
US

V. Phone/Fax

Practice location:
  • Phone: 559-435-2425
  • Fax: 559-438-4372
Mailing address:
  • Phone: 559-435-2425
  • Fax: 559-438-4372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH75222
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: