Provider Demographics
NPI:1972721959
Name:OHASHI, MICHAEL ALAN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALAN
Last Name:OHASHI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10641 KEATS AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-8803
Mailing Address - Country:US
Mailing Address - Phone:559-285-3217
Mailing Address - Fax:
Practice Address - Street 1:1825 ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:CA
Practice Address - Zip Code:93657-3705
Practice Address - Country:US
Practice Address - Phone:559-875-2517
Practice Address - Fax:559-875-3718
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH46182183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH46182OtherSTATE LICENSE