MEDICARE: TARA YOSHIKAWA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	1644690	VA

General Provider Information

NPI Number	:	1225731342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA YOSHIKAWA

Provider Business Mailing Address
First Line	:	500 PACIFIC AVE UNIT 309
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-3535
Country	:	US
Telephone Number	:	412-352-5854
Fax Number	:

Provider Business Practice Location Address
First Line	:	1624 LASKIN RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-7507
Country	:	US
Telephone Number	:	757-425-9474
Fax Number	:	757-425-9061

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	03/27/2023

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Directions to “ TARA YOSHIKAWA ” Practice Location

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