Provider Demographics
NPI:1033490818
Name:CHIKASAWA, VICTOR AKINORI (PHARMD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:AKINORI
Last Name:CHIKASAWA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 BERG CT
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-7504
Mailing Address - Country:US
Mailing Address - Phone:916-220-5164
Mailing Address - Fax:916-850-1023
Practice Address - Street 1:1600 CAVITT DRIVE
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-7504
Practice Address - Country:US
Practice Address - Phone:916-220-5164
Practice Address - Fax:916-850-1023
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26755183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist