Healthcare Provider Details

I. General information

NPI: 1629587464
Provider Name (Legal Business Name): ANASTASIA GOLDEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2017
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2773 HARRIS ST STE A
EUREKA CA
95503-4866
US

IV. Provider business mailing address

2773 HARRIS ST STE A
EUREKA CA
95503-4866
US

V. Phone/Fax

Practice location:
  • Phone: 707-442-1182
  • Fax: 707-442-1635
Mailing address:
  • Phone: 707-442-1182
  • Fax: 707-442-1635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number75845
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: