Provider Demographics
NPI:1093036279
Name:WIN, AKARI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AKARI
Middle Name:
Last Name:WIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:662 SALT LAKE DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95133-2066
Mailing Address - Country:US
Mailing Address - Phone:408-347-1962
Mailing Address - Fax:
Practice Address - Street 1:350 N CAPITOL AVE
Practice Address - Street 2:WALGREENS PHARMACY #842
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95133-1937
Practice Address - Country:US
Practice Address - Phone:408-259-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58995183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist