Provider Demographics
NPI:1811075344
Name:NAKASU, KRIS AKIRA II (PHARM-D)
Entity type:Individual
Prefix:MR
First Name:KRIS
Middle Name:AKIRA
Last Name:NAKASU
Suffix:II
Gender:M
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2233 LOMITA BLVD
Mailing Address - Street 2:
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-1401
Mailing Address - Country:US
Mailing Address - Phone:310-530-2444
Mailing Address - Fax:310-530-8761
Practice Address - Street 1:2233 LOMITA BLVD
Practice Address - Street 2:
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-1401
Practice Address - Country:US
Practice Address - Phone:310-530-2444
Practice Address - Fax:310-530-8761
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH35634183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist