Provider Demographics
NPI:1699220202
Name:CHIBA, SAKINA (RPH)
Entity Type:Individual
Prefix:
First Name:SAKINA
Middle Name:
Last Name:CHIBA
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 1:4930 HIDDEN NEST CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7707
Mailing Address - Country:US
Mailing Address - Phone:510-402-4330
Mailing Address - Fax:
Practice Address - Street 1:4930 HIDDEN NEST CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7707
Practice Address - Country:US
Practice Address - Phone:510-402-4330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56871183500000X
TX58456183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist