Provider Demographics
NPI:1548795966
Name:EITOKU, JANE CHIN (PHARM D)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:CHIN
Last Name:EITOKU
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1546 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-5101
Mailing Address - Country:US
Mailing Address - Phone:831-442-7502
Mailing Address - Fax:831-442-7505
Practice Address - Street 1:1546 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-5101
Practice Address - Country:US
Practice Address - Phone:831-442-7502
Practice Address - Fax:831-442-7505
Is Sole Proprietor?:No
Enumeration Date:2017-04-23
Last Update Date:2017-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39910183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist