Provider Demographics
NPI:1518312347
Name:KALOCSAI, EDIT (PHARMD)
Entity Type:Individual
Prefix:
First Name:EDIT
Middle Name:
Last Name:KALOCSAI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:EDIT
Other - Middle Name:
Other - Last Name:PEKAROVICS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2909 DUNCAN AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-5076
Mailing Address - Country:US
Mailing Address - Phone:559-348-9489
Mailing Address - Fax:
Practice Address - Street 1:2615 E CLINTON AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2223
Practice Address - Country:US
Practice Address - Phone:559-225-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67118183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist