Organization
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Active
Other names
UNIVERSITY MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE WALSH PHARM D (PHCY MGR)
(559) 459-3578
Entity
Organization
Contact information
Practice address
290 N WAYTE LN, FRESNO, CA 93701-2124
(559) 459-4592
(559) 459-6110
Mailing address
290 N WAYTE LN, FRESNO, CA 93701-2124
(559) 459-4592
(559) 459-6110
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY41924
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992098
PK
—
05
—
PHB195530
—
CA
Enumeration date
07/22/2006
Last updated
08/10/2016
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