Healthcare Provider Details

I. General information

NPI: 1629288188
Provider Name (Legal Business Name): SAREEN PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2431 3RD. ST.
HUGHSON CA
95326
US

IV. Provider business mailing address

2600 MITCHELL RD. SUITE G
CERES CA
95307
US

V. Phone/Fax

Practice location:
  • Phone: 209-883-4911
  • Fax: 209-883-0502
Mailing address:
  • Phone: 209-883-4911
  • Fax: 209-883-0502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY48548
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY56132
License Number StateCA

VIII. Authorized Official

Name: MR. MANPREET ATWAL
Title or Position: CFO/SECRETARY
Credential: RPH
Phone: 209-883-4911