Provider Demographics
NPI:1639499080
Name:YOSHIDA, WARREN S (RPH)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:S
Last Name:YOSHIDA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24536 HESPERIAN BLVD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-2034
Mailing Address - Country:US
Mailing Address - Phone:510-782-0626
Mailing Address - Fax:510-782-6063
Practice Address - Street 1:24536 HESPERIAN BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-2034
Practice Address - Country:US
Practice Address - Phone:510-782-0626
Practice Address - Fax:510-782-6063
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23197183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist