Healthcare Provider Details

I. General information

NPI: 1477457877
Provider Name (Legal Business Name): DHARAM AMIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E OLIVE AVE
TURLOCK CA
95380-4012
US

IV. Provider business mailing address

447 BARCELONA DR
TRACY CA
95377-6722
US

V. Phone/Fax

Practice location:
  • Phone: 209-250-1786
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number91738
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: