Ethan Decota, PHARMD

Pharmacist · Eureka, CA

Individual Active NPI

NPI number 1841767845

Practice location

1105 Myrtle Ave
Eureka, CA 95501-1222
Phone
(707) 443-5081

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NPI record

NPI
1841767845
Entity type
Individual (Type 1)
Enumeration date
October 28, 2018
Last updated
October 28, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 76432 CA
Pharmacist 183500000X 051299675 IL

About Dr. Decota

Ethan Decota, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1105 Myrtle Ave, Eureka, CA 95501-1222. The NPI number 1841767845 was assigned on October 28, 2018 and the record was last updated on October 28, 2018.

Dr. Decota lists 2 licenses in the registry: #76432 (CA) for Pharmacist; #051299675 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ethan Decota, PHARMD?

The NPI number is 1841767845.

What is the phone number of Dr. Decota?

The phone number listed for the practice location is (707) 443-5081.

Where is Dr. Decota located?

1105 Myrtle Ave, Eureka, CA 95501-1222.

What is the taxonomy code for Dr. Decota?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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