NPI 1003102765

Jason Shimata, PHARMD

Practitioner Pharmacist Camas, WA

Practice location

Address: 19610 SE 1st St, Camas, WA 98607-7472
Phone: (360) 258-6230
Fax: (360) 258-6227

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH 00061759 (WA)

Other Pharmacist providers in Washington →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence RPH-0010531 (OR)

Registry record

NPI: 1003102765
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2011
Record last updated: 21 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.