Provider Demographics
NPI:1275833352
Name:LOUIS, ADARA SASIKAMOL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADARA
Middle Name:SASIKAMOL
Last Name:LOUIS
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 1:2811 MIDDLEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-2522
Mailing Address - Country:US
Mailing Address - Phone:650-321-9731
Mailing Address - Fax:650-321-9734
Practice Address - Street 1:2811 MIDDLEFIELD RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-2522
Practice Address - Country:US
Practice Address - Phone:650-321-9731
Practice Address - Fax:650-321-9734
Is Sole Proprietor?:No
Enumeration Date:2010-10-24
Last Update Date:2010-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 55743183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist