IndividualActive
Regina Phanucharas, PHARM.D.
NPI 1497828800 · Geriatric Pharmacist · Fresno, CA
Provider details
- NPI number
- 1497828800
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 52544 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
7300 N Fresno St
Fresno, CA 93720-2941
Phone: (559) 448-3708
Fax: (559) 448-4201
Approximate (ZIP-level) locationGet directions
Mailing address
1575 E Shadow Creek Dr
Fresno, CA 93720-3537
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.