# PROVERI FRESNO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proveri Fresno Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952109084
- **Authorized official:** TIGER SAELEE (MANAGING MEMBER)
- **Authorized official phone:** (209) 294-8285

## Contact information

- **Practice address:** 2350 W SHAW AVE STE 126, FRESNO, CA 93711-3400
- **Practice address phone:** (209) 294-8285
- **Mailing address:** 2350 W SHAW AVE STE 126, FRESNO, CA 93711-3400
- **Mailing address phone:** (209) 294-8285

## Taxonomy

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

## Other

- **Enumeration date:** 03/05/2025
- **Last updated:** 03/17/2025