Krystal Masako Tanioka, PharmD
Pharmacist in Mission Viejo, CA. Individual provider (NPI-1).
NPI number1982240552
StatusActive
Last updated in NPPESSep 8, 2020
Details
- NPI
- 1982240552
- Entity type
- Individual (NPI-1)
- Name
- Krystal Masako Tanioka
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2019
- Certification date
- Sep 3, 2020
- Last updated
- Sep 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 80884 | CA | Yes |
Practice location
24500 Alicia PkwyMission Viejo, CA 92691-4508
Phone 949-583-1278
Mailing address
24500 Alicia PkwyMission Viejo, CA 92691-4508
Phone 949-583-1278
Other practice locations
9055 Garfield Ave
Fountain Valley, CA 92708-6560
Fountain Valley, CA 92708-6560
Phone 714-962-4010
2617 E Chapman Ave Ste 111
Orange, CA 92869-3231
Orange, CA 92869-3231
Phone 714-602-8350
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