Provider Demographics
NPI:1699954875
Name:ASAKURA, LAURA MOMOKO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:MOMOKO
Last Name:ASAKURA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 NEVIN AVE
Mailing Address - Street 2:2ND FLOOR INPATIENT PHARMACY
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801-3143
Mailing Address - Country:US
Mailing Address - Phone:510-307-3114
Mailing Address - Fax:510-307-3174
Practice Address - Street 1:901 NEVIN AVE
Practice Address - Street 2:2ND FLOOR INPATIENT PHARMACY
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-3143
Practice Address - Country:US
Practice Address - Phone:510-307-3114
Practice Address - Fax:510-307-3174
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist