Eitoku Lawton Inc
Organization Active NPI Community/Retail Pharmacy · Soledad, CA
NPI 1174169031 · NPPES record last updated Nov 25, 2019
Key facts
- NPI
- 1174169031
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- EITOKU LAWTON INC
- Practice address
- 537 Front St
Soledad, CA 93960-3014 - Phone
- (831) 677-5100
- Fax
- (831) 223-1692
- NPI assigned
- Nov 25, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Jimmy Ken Eitoku, PHARM D
- Title
- President
- Phone
- (831) 677-5100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221003002210 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3577979970 | Practice locations: Soledad, CA |
National Provider Directory
Locations
537 Front St
Soledad, CA 93960
Phone (831) 677-5100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
537 Front St
Soledad, CA 93960-3014
Mailing address
PO Box 808
Gonzales, CA 93926-0808
Phone (831) 675-3643
Other names
- Soledad Pharmacy and Wellness Center
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All providers in Soledad, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.