Healthcare Provider Details

I. General information

NPI: 1679646053
Provider Name (Legal Business Name): EMERY J. SAGRADO PHARMD.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
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

2640 E TARRAGON WAY
FRESNO CA
93720-4926
US

V. Phone/Fax

Practice location:
  • Phone: 559-448-3305
  • Fax: 559-448-3350
Mailing address:
  • Phone: 559-323-7338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number50568
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: