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NPI Code Detail

MEDICARE: MR. MATTHEW A SASAKI PHARM.D.

MEDICARE: MR. MATTHEW A SASAKI 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
1183500000XPharmacist54032TX
2183500000XPharmacist3546HI

General Provider Information

NPI Number : 1902233166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW A SASAKI PHARM.D.
Provider Business Mailing Address
First Line : 4649 LOMA DEL SUR DR APT 1005
Second Line :
City : EL PASO
State : TX
Zip : 79934-3355
Country : US
Telephone Number : 808-542-4332
Fax Number :
Provider Business Practice Location Address
First Line : 12390 EDGEMERE BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79938-4464
Country : US
Telephone Number : 915-849-6849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2013
Last Update Date : 10/02/2013

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