NPI Code Details Logo

NPI 1992235402

NPI 1992235402 : FRAZIER HEALTHCARE INC : FRAZIER PARK, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1992235402
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    FRAZIER HEALTHCARE INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/16/2017
-----------------------------------------------------
    Last Update Date     |    09/18/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3544 MOUNT PINOS WAY 
-----------------------------------------------------
    City                 |    FRAZIER PARK
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93225
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    661-245-1660
-----------------------------------------------------
    Fax                  |    661-245-1664
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 9008 
-----------------------------------------------------
    City                 |    BAKERSFIELD
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93389-9008
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    661-245-1660
-----------------------------------------------------
    Fax                  |    661-245-1664
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PIC
-----------------------------------------------------
    Name                 |     SACHIN  BRAHMBHATT 
-----------------------------------------------------
    Credential           |    RPH
-----------------------------------------------------
    Telephone            |    661-245-1660
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.