Healthcare Provider Details

I. General information

NPI: 1992369466
Provider Name (Legal Business Name): SAREEN PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2019
Last Update Date: 04/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2431 3RD ST. SUITE A
HUGHSON CA
95326
US

IV. Provider business mailing address

2600 MITCHELL RD STE G
CERES CA
95307-9466
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

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