Individual provider · Type 1 NPI
Tad Gordon Itamura, RPH
Pharmacist · Indianapolis, IN
Practice location
505 E Thompson Rd
Indianapolis, IN 46227-1626
Fax (317) 780-7478
Mailing address
11026 Tenacious Dr
Indianapolis, IN 46236-9566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 26016350A (IN) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1891390001
Tad Gordon Itamura, RPH's National Provider Identifier is 1891390001, issued on Dec 3, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 3, 2020.