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BRENT TATSUO YAMAMOTO
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1598022071
Individual Registrant: BRENT TATSUO YAMAMOTO
Gender: M
Not Sole Proprietor
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: --
Tel: 559-284-0629 Fax: --
Contact information for business:
13702 S CHERRY AVE CARUTHERS, CA 93609-9724 US
Tel: 559-284-0629 Fax: --
Tel: 559-284-0629 Fax: --
Registration Information:
NPI: 1598022071
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | WA | IR 60221945 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
