# PROVERI VENTURES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649977836
- **Authorized official:** USOF HASHIM PHARMD (MANAGING MEMBER/PHARMACIST)
- **Authorized official phone:** (240) 481-3128

## Contact information

- **Practice address:** 1524 MCHENRY AVE STE 160, MODESTO, CA 95350-4575
- **Practice address phone:** (209) 662-7272
- **Practice address fax:** (209) 795-4316
- **Mailing address:** 1524 MCHENRY AVE STE 160, MODESTO, CA 95350-4575
- **Mailing address phone:** (209) 662-7272
- **Mailing address fax:** (209) 795-4316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2023
- **Last updated:** 12/17/2025