Healthcare Provider Details

I. General information

NPI: 1679566517
Provider Name (Legal Business Name): PHARMKEE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 03/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15051 W WHITESBRIDGE AVE
KERMAN CA
93630-1013
US

IV. Provider business mailing address

15051 W WHITESBRIDGE AVE
KERMAN CA
93630-1013
US

V. Phone/Fax

Practice location:
  • Phone: 559-846-9397
  • Fax:
Mailing address:
  • Phone: 559-846-9396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number54001
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number54001
License Number StateCA

VIII. Authorized Official

Name: DR. DOUGLAS WILCOX
Title or Position: DIRECTOR
Credential: PHARM.D.
Phone: 559-846-9396