Provider Demographics
NPI:1710595871
Name:KIMURA, MELISSA M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:M
Last Name:KIMURA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:M
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 PASEO LINARES
Mailing Address - Street 2:
Mailing Address - City:MORAGA
Mailing Address - State:CA
Mailing Address - Zip Code:94556-2101
Mailing Address - Country:US
Mailing Address - Phone:559-273-3552
Mailing Address - Fax:
Practice Address - Street 1:1 DNA WAY
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-4990
Practice Address - Country:US
Practice Address - Phone:650-534-4881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH78694183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist