Provider Demographics
NPI:1619856556
Name:EITOKU COMPANY INC
Entity type:Organization
Organization Name:EITOKU COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:KEN
Authorized Official - Last Name:EITOKU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:831-675-3643
Mailing Address - Street 1:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:CA
Mailing Address - Zip Code:93926-0808
Mailing Address - Country:US
Mailing Address - Phone:831-675-3643
Mailing Address - Fax:831-675-3086
Practice Address - Street 1:18 4TH STREET
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:CA
Practice Address - Zip Code:93926-0808
Practice Address - Country:US
Practice Address - Phone:831-675-3643
Practice Address - Fax:831-675-3086
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GONZALES RX PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy