Provider Demographics
NPI:1255478707
Name:KISHI, DONALD T (PHARMD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:T
Last Name:KISHI
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:UCSF 523 PARNASSUS AVEMUE
Mailing Address - Street 2:ROOM C153
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0622
Mailing Address - Country:US
Mailing Address - Phone:415-476-9270
Mailing Address - Fax:
Practice Address - Street 1:UCSF 523 PARNASSUS AVE
Practice Address - Street 2:ROOM C152
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0622
Practice Address - Country:US
Practice Address - Phone:415-476-9270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist