Healthcare Provider Details

I. General information

NPI: 1497993901
Provider Name (Legal Business Name): CASHMIR LUKE PHARMD/MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2009
Last Update Date: 03/31/2020
Certification Date: 03/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 E OLIVE AVE
FRESNO CA
93728-3610
US

IV. Provider business mailing address

PO BOX 690311
STOCKTON CA
95269-0311
US

V. Phone/Fax

Practice location:
  • Phone: 800-666-5323
  • Fax:
Mailing address:
  • Phone: 925-759-2436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19006
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number19006
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: