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General NPI Number Information
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NPI Number | 1649590266
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Entity Type | Individual
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Provider Name | ALYCE REIKO SAITO
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Gender | Female
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 06/04/2010
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Provider Practice Location Address
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Address Line | 69155 RAMON RD
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-3344
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Country | US
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Telephone | 760-770-3097
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Fax |
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Provider Business Mailing Address
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Address Line | 75750 HERITAGE W
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City | PALM DESERT
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State | CA
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Zip | 92211-1002
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Country | US
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Telephone | 760-345-4809
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 32099
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 07401
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License Number State | NV
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