Provider Demographics
NPI:1841352275
Name:HAMAMOTO, GARY K (PHARMD)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:K
Last Name:HAMAMOTO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660741
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95866-0741
Mailing Address - Country:US
Mailing Address - Phone:916-486-5365
Mailing Address - Fax:916-486-5364
Practice Address - Street 1:3184 ARDEN WAY
Practice Address - Street 2:HOME INFUSION PHARMACY
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3701
Practice Address - Country:US
Practice Address - Phone:916-486-5365
Practice Address - Fax:916-486-5364
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42623183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist