Miyasaki, Derek Michael

Miyasaki, Derek Michael is an individual health care provider with primary practice located at 1799 Marlow Rd , Santa Rosa CA 95401-4474. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Miyasaki, Derek Michael can be contacted via phone (707) 528-3396.

Contact Information

Primary practice address
1799 Marlow Rd Santa Rosa CA 95401-4474
Phone: (707) 528-3396
Fax: (707) 528-0760
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 64543 California

Profile Details

NPI number 1659650596
LBN Legal business name Miyasaki, Derek Michael
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2011
Last updated Dec 21st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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