MEDICARE: KRISTA YOKOYAMA PHARM.D.

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	183500000X	Pharmacist	54481	CA
2	183500000X	Pharmacist	39942	TX

General Provider Information

NPI Number	:	1558607770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTA YOKOYAMA PHARM.D.

Provider Business Mailing Address
First Line	:	6300 CANOGA AVE
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-2555
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 CANOGA AVE
Second Line	:	10-1001C
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-2555
Country	:	US
Telephone Number	:	818-228-2544
Fax Number	:

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

Provider Enumeration Date	:	12/15/2012
Last Update Date	:	12/15/2012

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