Provider Demographics
NPI:1619381118
Name:SAKO, FATIN (PHARMD,)
Entity Type:Individual
Prefix:
First Name:FATIN
Middle Name:
Last Name:SAKO
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 1:25762 LAUREL OAK CT
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91381-0740
Mailing Address - Country:US
Mailing Address - Phone:818-802-8165
Mailing Address - Fax:661-252-9478
Practice Address - Street 1:25762 LAUREL OAK CT
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91381-0740
Practice Address - Country:US
Practice Address - Phone:818-802-8165
Practice Address - Fax:661-252-9478
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50351183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist