Provider Demographics
NPI:1649737271
Name:OKAWARA, MICHIKO (PHARMD)
Entity Type:Individual
Prefix:
First Name:MICHIKO
Middle Name:
Last Name:OKAWARA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MICHIKO
Other - Middle Name:OKAWARA
Other - Last Name:LAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:155 PACIFIC COAST HWY
Mailing Address - Street 2:
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254-5356
Mailing Address - Country:US
Mailing Address - Phone:310-372-4345
Mailing Address - Fax:
Practice Address - Street 1:155 PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-5356
Practice Address - Country:US
Practice Address - Phone:310-372-4345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73447183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist