Healthcare Provider Details

I. General information

NPI: 1487744991
Provider Name (Legal Business Name): ROBERT LAWRENCE MCLANAHAN PHARM D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 N FRESNO ST
FRESNO CA
93720-2941
US

IV. Provider business mailing address

9459 N PURDUE AVE
CLOVIS CA
93619-8669
US

V. Phone/Fax

Practice location:
  • Phone: 559-448-3305
  • Fax:
Mailing address:
  • Phone: 559-299-4038
  • Fax: 559-299-4038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 36582
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: