Provider Demographics
NPI:1629378716
Name:SHIMIZU, SHARI (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:
Last Name:SHIMIZU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:SHARI
Other - Middle Name:
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:46848 MISSION BLVD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-7943
Mailing Address - Country:US
Mailing Address - Phone:510-497-1015
Mailing Address - Fax:510-497-1007
Practice Address - Street 1:46848 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-7943
Practice Address - Country:US
Practice Address - Phone:510-497-1015
Practice Address - Fax:510-497-1007
Is Sole Proprietor?:No
Enumeration Date:2010-10-24
Last Update Date:2010-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57555183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist