Provider Demographics
NPI:1942482351
Name:EITOKU, GRACE H (PHARM D)
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:H
Last Name:EITOKU
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:H
Other - Last Name:KUO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:27163 PRESTANCIA WAY
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-1579
Mailing Address - Country:US
Mailing Address - Phone:831-578-1547
Mailing Address - Fax:
Practice Address - Street 1:27163 PRESTANCIA WAY
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93908-1579
Practice Address - Country:US
Practice Address - Phone:831-578-1547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59241183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist