Provider Demographics
NPI:1619214533
Name:HIRABAYASHI, LONNIE M (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:DR
First Name:LONNIE
Middle Name:M
Last Name:HIRABAYASHI
Suffix:
Gender:M
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11448
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-1448
Mailing Address - Country:US
Mailing Address - Phone:559-696-2636
Mailing Address - Fax:
Practice Address - Street 1:8221 NORFOLK CT
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1110
Practice Address - Country:US
Practice Address - Phone:559-696-2636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA330001835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty