Provider Demographics
NPI:1174169031
Name:EITOKU LAWTON INC
Entity type:Organization
Organization Name:EITOKU LAWTON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:KEN
Authorized Official - Last Name:EITOKU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:831-677-5100
Mailing Address - Street 1:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:CA
Mailing Address - Zip Code:93926-0808
Mailing Address - Country:US
Mailing Address - Phone:831-675-3643
Mailing Address - Fax:
Practice Address - Street 1:537 FRONT ST
Practice Address - Street 2:
Practice Address - City:SOLEDAD
Practice Address - State:CA
Practice Address - Zip Code:93960-3014
Practice Address - Country:US
Practice Address - Phone:831-677-5100
Practice Address - Fax:831-223-1692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy