Healthcare Provider Details

I. General information

NPI: 1174533657
Provider Name (Legal Business Name): ALAN SHOJI YAYESAKI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10535 HOSPITAL WAY INPATIENT PHARMACY, MATHER HOSPITAL
MATHER CA
95655-4200
US

IV. Provider business mailing address

7744 OAKSHORE DR
SACRAMENTO CA
95831-5793
US

V. Phone/Fax

Practice location:
  • Phone: 916-843-7060
  • Fax: 916-843-7349
Mailing address:
  • Phone: 916-395-4254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 35436
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: