Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariatou Sisay

Individual provider Pharmacist · NPI 1104488071

Mariatou Sisay is a Pharmacist in Roseville, California. Licensed in California and Washington. Registered with an NPI since 2019.

Licensed in
CA, WA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1011 Riverside Ave
Roseville, CA 95678-5134
Phone: (916) 746-6827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH60864255 (WA)
Pharmacist Taxonomy 183500000X · Licence RPH80578 (CA)

Record details

NPI number1104488071
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2019
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021

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