Healthcare Provider Details

I. General information

NPI: 1780163261
Provider Name (Legal Business Name): AMY MALAYNE BALDWIN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2018
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 E TULARE AVE
VISALIA CA
93292-3629
US

IV. Provider business mailing address

2490 LA PALOMA DR
TULARE CA
93274-7749
US

V. Phone/Fax

Practice location:
  • Phone: 559-429-7736
  • Fax: 559-317-6894
Mailing address:
  • Phone: 559-799-4335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number52230
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: