Individual
ANA LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4080 W SHAW AVE, FRESNO, CA 93722-6220
(559) 277-8274
Mailing address
PO BOX 304, PRATHER, CA 93651-0304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
82768
CA
Other
Enumeration date
08/22/2020
Last updated
12/28/2021
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