Provider Demographics
NPI:1417338427
Name:NAKAMURA, KARIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:NAKAMURA
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 1:804 AVENIDA PICO
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-5624
Mailing Address - Country:US
Mailing Address - Phone:949-492-9448
Mailing Address - Fax:949-492-9763
Practice Address - Street 1:804 AVENIDA PICO
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-5624
Practice Address - Country:US
Practice Address - Phone:949-492-9448
Practice Address - Fax:949-492-9763
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA440180183500000X
CA59411183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist