Healthcare Provider Details

I. General information

NPI: 1104836816
Provider Name (Legal Business Name): BARBARA K. UENAKA PHARM.D., MHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 10/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 MUIR RD # 612/119
MARTINEZ CA
94553-4668
US

IV. Provider business mailing address

150 MUIR RD. (612/119)
MARTINEZ CA
94553
US

V. Phone/Fax

Practice location:
  • Phone: 925-372-2517
  • Fax: 925-372-2760
Mailing address:
  • Phone: 925-372-2517
  • Fax: 925-372-2760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 31353
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: