Healthcare Provider Details

I. General information

NPI: 1235732462
Provider Name (Legal Business Name): SHEETAL CHEPURWAR RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 11/19/2020
Certification Date: 11/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7173 N SHARON AVE
FRESNO CA
93720-3329
US

IV. Provider business mailing address

4036 RICHMOND AVE
CLOVIS CA
93619-5121
US

V. Phone/Fax

Practice location:
  • Phone: 559-436-3600
  • Fax:
Mailing address:
  • Phone: 559-392-3776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number83463
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: