| Organization Name: | UNITED HEALTH CNTRS OF THE SAN JOAQUIN VALLEY |
| NPI Number: | 1962504225 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUBEN AGUIRRE (PHARMACY DIRECTOR) |
| Mailing Address: | 517 S Madera Ave Kerman |
| State: | CA US |
| Postal Code: | 936301523 |
| Phone Number: | 5598466330 |
| Fax Number: | 5598422370 |
| NPI Enumeration Date: | 09/05/2006 |
| NPI Last Update Date: | 09/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0002X |
| License Number: | 47234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Clinic Pharmacy |
| Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |