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BRENT TATSUO YAMAMOTO

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1598022071

Individual Registrant:
 BRENT TATSUO YAMAMOTO 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
13702 S CHERRY AVE  CARUTHERS, CA 93609-9724 US
Tel: 559-284-0629  Fax: --

Contact information for business:
13702 S CHERRY AVE  CARUTHERS, CA 93609-9724 US
Tel: 559-284-0629  Fax: --

Registration Information:
NPI: 1598022071
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
WAIR 60221945

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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