Jimmy Ken Eitoku is a Pharmacist in Gonzales, California. Jimmy Ken Eitoku practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jimmy Ken Eitoku is 1609883156. The last update date is 2023-03-17.
Jimmy Ken Eitoku's current location address is Po Box 808, Gonzales, California. You can contact this provider via phone number 8316753643 and fax number 8316753086. The mailing address for Jimmy Ken Eitoku is Po Box 808, Gonzales, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmy Ken Eitoku |
|---|---|
| Address | Po Box 808, Gonzales, California |
| Phone Number | 8316753643 |
| Fax Number | 8316753086 |
| Sole Proprietor | Y |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1609883156 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2023-03-17 |
Provider Mailing Address Detail
| Address | Po Box 808 |
|---|---|
| City | Gonzales |
| State | California (CA) |
| Post Code | 939260808 |
| Phone Number | 8316753643 |
| Fax Number | 8316753086 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 38620 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the unique identifier code issued to Jimmy Ken Eitoku by the Centers for Medicare & Medicaid Services (CMS)?
The Jimmy Ken Eitoku has been assigned the NPI (National Provider Identifier) 1609883156. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jimmy Ken Eitoku's physical address?
The Jimmy Ken Eitoku is physically located at Po Box 808, in the city of Gonzales, CA, with the postal code 939260808.
What is the Jimmy Ken Eitoku's area of specialization and corresponding taxonomy classification?
The Jimmy Ken Eitoku's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1609883156 to Jimmy Ken Eitoku?
The Jimmy Ken Eitoku received its 1609883156 assignment from the Centers for Medicare & Medicaid Services on 2006-08-01.
As of what date were the details pertaining to Jimmy Ken Eitoku last refreshed?
The information related to the Jimmy Ken Eitoku, including its address, specialty, and other relevant details, was last updated on 2023-03-17.