Provider Demographics
NPI:1558372367
Name:NEHIRA, JEANENE KIMIKO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JEANENE
Middle Name:KIMIKO
Last Name:NEHIRA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:JEANENE
Other - Middle Name:KIMIKO
Other - Last Name:NEHIRA-GO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:150 MUIR RD
Mailing Address - Street 2:PHARMACY 119
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4668
Mailing Address - Country:US
Mailing Address - Phone:925-372-2170
Mailing Address - Fax:925-372-2169
Practice Address - Street 1:150 MUIR RD
Practice Address - Street 2:PHARMACY 119
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4668
Practice Address - Country:US
Practice Address - Phone:925-372-2170
Practice Address - Fax:925-372-2169
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14953183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist