Individual
MARK W FACCHINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5044 N BARTON AVE, MAILSTOP HC81, ATTN: PHARMACY, FRESNO, CA 93740-0001
(559) 278-6761
(559) 278-6080
Mailing address
5044 N BARTON AVE, MAILSTOP HC81, ATTN: PHARMACY, FRESNO, CA 93740-0001
(559) 278-6761
(559) 278-6080
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
40252
CA
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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