Corey Michael Nakata, RPH
Pharmacist in Stockton, CA. Individual provider (NPI-1).
NPI number1982115176
StatusActive
Last updated in NPPESAug 12, 2021
Details
- NPI
- 1982115176
- Entity type
- Individual (NPI-1)
- Name
- Corey Michael Nakata
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2017
- Certification date
- Aug 12, 2021
- Last updated
- Aug 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 77592 | CA | Yes |
Practice location
420 W Acacia St Ste 4Stockton, CA 95203-2441
Phone 209-466-2954 · Fax 209-466-1558
Mailing address
942 Cobble Shores DriveSacramento, CA 95831
Phone 916-215-4623
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