Organization
FOUR CORNER
Active
Parent organization
FOUR CORNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUR CORNER HEALTH
Authorized official
DR. CASHMIR LUKE PHARMD/PH.D (PRESIDENT)
(800) 666-5323
Entity
Organization
Contact information
Practice address
1310 E OLIVE AVE, FRESNO, CA 93728-3610
(800) 666-5323
Mailing address
PO BOX 690311, STOCKTON, CA 95269-0311
(800) 666-5323
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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