Dr Jimmy Ken Eitoku, PHARMD is a
Pharmacist based in Gonzales, California. Dr Jimmy Ken Eitoku is licensed to practice in California (license number 38620) and his current practice location is
18 4th Street, Gonzales, California. He can be reached at his office (for appointments etc.) via phone at
() -.
NPI number for Dr Jimmy Ken Eitoku is 1609883156 and his current mailing address is Po Box 808, Gonzales, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609883156.
Healthcare Provider's Profile
| Full Name | Dr Jimmy Ken Eitoku |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 18 4th Street, Gonzales, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609883156
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 03/17/2023
Medical Identifiers
Medical identifiers for Dr Jimmy Ken Eitoku such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609883156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 38620 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jimmy Ken Eitoku is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jimmy Ken Eitoku, PHARMD
Po Box 808,
Gonzales, CA 93926-0808
Ph: (831) 675-3643 | Dr Jimmy Ken Eitoku, PHARMD
18 4th Street,
Gonzales, CA 93926-0808
Ph: () - |
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