Healthcare Provider Details

I. General information

NPI: 1851136998
Provider Name (Legal Business Name): KAILEE ANN TOEWS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAILEE SHEARER

II. Dates (important events)

Enumeration Date: 06/29/2024
Last Update Date: 06/29/2024
Certification Date: 06/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2823 FRESNO ST
FRESNO CA
93721-1324
US

IV. Provider business mailing address

1473 E SAMPLE AVE
FRESNO CA
93710-5712
US

V. Phone/Fax

Practice location:
  • Phone: 559-459-2831
  • Fax:
Mailing address:
  • Phone: 909-477-1821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number73462
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: