Provider Demographics
NPI:1629673629
Name:TOGASHI, ANN MICHIKO (RPH)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:MICHIKO
Last Name:TOGASHI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 BELLE LA BLANC AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-3459
Mailing Address - Country:US
Mailing Address - Phone:808-938-7664
Mailing Address - Fax:
Practice Address - Street 1:4490 PARADISE RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-6573
Practice Address - Country:US
Practice Address - Phone:702-696-7126
Practice Address - Fax:702-696-7369
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV19548183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist