| NPI | 1952109084 |
|---|---|
| Doing Business As | PROVERI FRESNO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIGER SAELEE Managing Member 209-294-8285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-17 |