Provider Demographics
NPI:1265520019
Name:HAMAMOTO, VALERIE (PHARM D)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:HAMAMOTO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MRS
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:FUJII
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16 CAPE DANBURY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-8407
Mailing Address - Country:US
Mailing Address - Phone:949-574-4141
Mailing Address - Fax:949-574-4112
Practice Address - Street 1:441 N LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-3028
Practice Address - Country:US
Practice Address - Phone:714-279-4382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist